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General NPI Number Information
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NPI Number | 1740267848
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Entity Type | Individual
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Provider Name | LARS ERLING NIELSON MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 170 MIDDLE ST
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City | LANCASTER
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State | NH
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Zip | 03584-3556
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Country | US
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Telephone | 603-788-2521
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Fax | 603-788-5027
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Provider Business Mailing Address
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Address Line | 173 MIDDLE ST
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City | LANCASTER
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State | NH
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Zip | 03584-3508
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Country | US
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Telephone | 603-788-5029
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Fax | 603-788-5607
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8303
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License Number State | NH
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