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General NPI Number Information
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NPI Number | 1750587168
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE DENTAL SOCIETY FOUNDATION, INC.
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23 S STATE ST
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City | CONCORD
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State | NH
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Zip | 03301-3721
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Country | US
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Telephone | 603-225-5961
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Fax | 603-226-4880
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Provider Business Mailing Address
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Address Line | 23 S STATE ST
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City | CONCORD
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State | NH
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Zip | 03301-3721
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Country | US
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Telephone | 603-225-5961
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Fax | 603-226-4880
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | MR. JAMES J WILLIAMSON
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Credential |
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Telephone | 603-225-5961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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