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General NPI Number Information
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NPI Number | 1740656123
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Entity Type | Organization
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Legal Business Name | ACCESS SPORTS MEDICINE & ORTHOPAEDICS, PLLC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 13 PLAISTOW RD
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City | PLAISTOW
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State | NH
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Zip | 03865-2838
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Country | US
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Telephone | 603-382-1559
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Fax | 603-382-0088
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Provider Business Mailing Address
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Address Line | 1 HAMPTON RD SUITE 200
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City | EXETER
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State | NH
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Zip | 03833-4848
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Country | US
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Telephone | 603-775-7575
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Fax | 603-778-9680
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Authorized Official
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Title or Position | PARTNER
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Name | JOSHUA A SIEGEL
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Credential | MD
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Telephone | 603-775-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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