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General NPI Number Information
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NPI Number | 1649484379
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Entity Type | Organization
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Legal Business Name | CHESHIRE MEDICAL CENTER
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 580 COURT ST
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City | KEENE
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State | NH
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Zip | 03431-1718
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Country | US
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Telephone | 603-354-6548
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Fax | 603-354-6547
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Provider Business Mailing Address
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Address Line | 580 COURT ST
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City | KEENE
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State | NH
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Zip | 03431-1718
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Country | US
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Telephone | 603-354-6548
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Fax | 603-354-6547
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Authorized Official
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Title or Position | DIRECTOR, PHARMACY
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Name | MR. DENIS PAUL FORTIER
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Credential | R.PH.
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Telephone | 603-354-6548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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