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General NPI Number Information
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NPI Number | 1679893317
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Entity Type | Individual
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Provider Name | MARTHA HAHN-FOURNIER MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/04/2010
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Provider Practice Location Address
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Address Line | 629 HAMMOND ST PH#1
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-2167
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Country | US
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Telephone | 561-573-7318
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Fax |
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Provider Business Mailing Address
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Address Line | 629 HAMMOND ST PH#1
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-2167
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Country | US
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME42725
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License Number State | FL
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