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General NPI Number Information
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NPI Number | 1619968849
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Entity Type | Organization
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Legal Business Name | THE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/05/2005
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 3073 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5111
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Country | US
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Telephone | 603-356-7061
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Fax | 603-356-3942
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Provider Business Mailing Address
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Address Line | 3073 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-7101
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Country | US
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Telephone | 603-356-7061
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Fax | 603-356-3942
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF FINANCE
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Name | DIANA J MCLAUGHLIN
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Credential |
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Telephone | 603-356-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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