=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609969112
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH NORENE PLETCHER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | DARTMOUTH HITCHCOCK MEDICAL CENTER
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03756
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-650-5000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1183 UNION VILLAGE ROAD
-----------------------------------------------------
City | NORWICH
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-649-1066
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 1466
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------