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General NPI Number Information
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NPI Number | 1720049240
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Entity Type | Organization
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Legal Business Name | JEFFRIES FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 345 CILLEY RD
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City | MANCHESTER
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State | NH
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Zip | 03103-4500
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Country | US
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Telephone | 603-606-6977
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Fax | 603-606-6983
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Provider Business Mailing Address
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Address Line | 345 CILLEY RD
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City | MANCHESTER
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State | NH
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Zip | 03103-4500
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Country | US
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Telephone | 603-606-6977
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Fax | 603-606-6983
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER F JEFFRIES
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Credential | M.D.
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Telephone | 603-606-6977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10123
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License Number State | NH
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