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General NPI Number Information
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NPI Number | 1699820514
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Entity Type | Organization
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Legal Business Name | CHOLESTEROL CONSULTANTS OF NEW HAMPSHIRE, LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 306 RIVERWAY PL BEDFORD COMMONS
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City | BEDFORD
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State | NH
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Zip | 03110-6765
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Country | US
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Telephone | 603-494-3180
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Fax |
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Provider Business Mailing Address
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Address Line | 72 RIDDLE DRIVE
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City | BEDFORD
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State | NH
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Zip | 03110-5732
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Country | US
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Telephone | 603-471-0864
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CAROLYN SOKOLOSKY FINOCCHIARO
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Credential | ARNP
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Telephone | 603-494-3180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0445632305
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License Number State | NH
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