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General NPI Number Information
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NPI Number | 1770519969
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Entity Type | Organization
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Legal Business Name | SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 289 MAIN ST
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City | SALEM
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State | NH
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Zip | 03079
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Country | US
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Telephone | 603-898-6363
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Fax | 603-898-6158
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Provider Business Mailing Address
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Address Line | 411 MERRIMACK ST
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City | METHUEN
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State | MA
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Zip | 01844
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Country | US
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Telephone | 978-685-5627
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Fax | 978-688-3987
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Authorized Official
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Title or Position | PRESIDENT
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Name | VARTAN YEGHIAZARIANS
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Credential | MD
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Telephone | 978-685-5627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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