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General NPI Number Information
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NPI Number | 1780183053
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Entity Type | Organization
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Legal Business Name | PACE INC.
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 333 BORTHWICK AVE STE 301
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7128
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Country | US
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Telephone | 603-969-6465
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Fax | 603-431-5818
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Provider Business Mailing Address
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Address Line | 333 BORTHWICK AVE STE 301
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7128
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Country | US
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Telephone | 603-969-6465
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Fax | 603-431-5818
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS VAILL KING
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Credential | MD
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Telephone | 603-969-6465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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