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General NPI Number Information
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NPI Number | 1568686376
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Entity Type | Organization
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Legal Business Name | BEDFORD INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 40 SOUTH RIVER RD BEDFORD PLACE UNIT 16
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City | BEDFORD
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State | NH
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Zip | 03110-6721
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Country | US
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Telephone | 603-645-6652
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Fax | 603-624-1634
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Provider Business Mailing Address
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Address Line | 40 S RIVER RD UNIT 16
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City | BEDFORD
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State | NH
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Zip | 03110-6721
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Country | US
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Telephone | 603-645-6652
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Fax | 603-624-1634
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENIS PAUL DUPUIS
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Credential | M.D.
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Telephone | 603-645-6652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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