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General NPI Number Information
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NPI Number | 1689603896
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Entity Type | Individual
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Provider Name | EDWARD PETER DURLING PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | DARTMOUTH-HITCHCOCK CLINIC 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756
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Country | US
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Telephone | 603-650-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 74 PLEASANT ST STE 204
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City | NEW LONDON
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State | NH
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Zip | 03257-5881
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Country | US
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Telephone | 603-526-4635
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Fax | 603-526-8283
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0463
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License Number State | NH
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