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General NPI Number Information
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NPI Number | 1699070995
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTH AND WELLBEING
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 196 BRIDGE ST SUITE 103
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City | MANCHESTER
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State | NH
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Zip | 03104-4953
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Country | US
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Telephone | 603-606-1611
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Fax | 603-518-5699
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Provider Business Mailing Address
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Address Line | 196 BRIDGE ST SUITE 103
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City | MANCHESTER
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State | NH
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Zip | 03104-4953
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Country | US
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Telephone | 603-606-1611
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Fax | 603-518-5699
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARGARITA R. OCHOA MAYA
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Credential | MD
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Telephone | 603-606-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 13263
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License Number State | NH
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