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General NPI Number Information
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NPI Number | 1740409556
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Entity Type | Organization
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Legal Business Name | PARKLAND PHYSICIAN SERVICES INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 6 TSIENNETO RD SUITE 204
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City | DERRY
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State | NH
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Zip | 03038-1584
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Country | US
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Telephone | 603-421-2526
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Fax | 603-421-2526
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Provider Business Mailing Address
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Address Line | 6 TSIENNETO RD SUITE 204
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City | DERRY
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State | NH
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Zip | 03038-1584
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Country | US
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Telephone | 603-421-2526
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Fax | 603-421-2526
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Authorized Official
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Title or Position | VP
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Name | KENNETH WASHINGTON
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Credential |
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Telephone | 703-650-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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