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General NPI Number Information
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NPI Number | 1730110610
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Entity Type | Organization
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Legal Business Name | DR. ROSALIE A LOPRESTO,LLC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 PARK AVE SUITE 2G
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City | HAMPTON
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State | NH
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Zip | 03842-2113
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Country | US
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Telephone | 603-926-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK AVE SUITE 2G
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City | HAMPTON
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State | NH
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Zip | 03842-2113
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Country | US
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Telephone | 603-926-1101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSALIE A LOPRESTO
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Credential | DPM
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Telephone | 603-926-1101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 0285
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License Number State | NH
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