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General NPI Number Information
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NPI Number | 1770793721
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE PUBLIC HEALTH LABORATORIES
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 HAZEN DR
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City | CONCORD
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State | NH
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Zip | 03301-6503
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Country | US
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Telephone | 603-271-4661
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Fax | 603-271-4760
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Provider Business Mailing Address
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Address Line | 29 HAZEN DR
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City | CONCORD
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State | NH
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Zip | 03301-6503
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Country | US
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Telephone | 603-271-4661
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Fax | 603-271-4760
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | CHRISTINE LOUISE BEAN
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Credential | PH.D., MBA, MT(ASCP)
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Telephone | 603-271-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | NH
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