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General NPI Number Information
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NPI Number | 1659997963
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE PEDIATRIC INPATIENT SERVICES LLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 11 WHITEHALL RD
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City | ROCHESTER
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State | NH
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Zip | 03867-3226
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Country | US
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Telephone | 973-251-1132
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3142
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3142
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Country | US
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Telephone | 800-355-3818
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KAREN MARIE VAUGHN
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Credential |
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Telephone | 404-450-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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