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General NPI Number Information
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NPI Number | 1679747414
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Entity Type | Individual
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Provider Name | KATE RIDDELL MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 8 PROSPECT ST DEPT OF
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City | NASHUA
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State | NH
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Zip | 03060-3925
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Country | US
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Telephone | 603-577-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 77 SOUTH RD
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City | EAST KINGSTON
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State | NH
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Zip | 03827-2125
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Country | US
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Telephone | 603-772-5501
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 15937
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 15937
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License Number State | NH
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