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NPI 1740282680

NPI 1740282680 : THOMAS MEREDITH MD : BERLIN, NH

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General NPI Number Information
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    NPI Number           |    1740282680
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS MEREDITH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    59 PAGE HILL RD 
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    City                 |    BERLIN
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    State                |    NH
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    Zip                  |    03570-3531
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    Country              |    US
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    Telephone            |    603-752-2900
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    Fax                  |    603-752-3727
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Provider Business Mailing Address
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    Address Line         |    54 WILLOW ST 
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    City                 |    BERLIN
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    State                |    NH
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    Zip                  |    03570-2084
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    Country              |    US
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    Telephone            |    603-752-3669
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    Fax                  |    603-752-3027
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    10489
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    License Number State |    NH
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