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General NPI Number Information
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NPI Number | 1629060926
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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 | 08/22/2005
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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 | 603-356-5472
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Fax |
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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 | 603-356-5472
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Fax | 603-356-9647
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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