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General NPI Number Information
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NPI Number | 1689625600
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Entity Type | Individual
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Provider Name | MARK ROBERT WINDT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 65 LAFAYETTE RD SECOND FLOOR
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2480
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Country | US
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Telephone | 603-964-3392
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Fax | 603-964-3396
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Provider Business Mailing Address
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Address Line | 65 LAFAYETTE RD SECOND FLOOR
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City | NORTH HAMPTON
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State | NH
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Zip | 03862-2480
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Country | US
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Telephone | 603-964-3392
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Fax | 603-964-3396
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 7208
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License Number State | NH
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