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General NPI Number Information
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NPI Number | 1811994171
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Entity Type | Individual
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Provider Name | ARISTOTLE J DAMIANOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 21 CLARK WAY
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City | SOMERSWORTH
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State | NH
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Zip | 03878-4401
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Country | US
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Telephone | 603-692-2228
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Fax | 603-743-6732
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Provider Business Mailing Address
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Address Line | 330 BORTHWICK AVE STE 300
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7109
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Country | US
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Telephone | 603-433-2488
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Fax | 603-433-4237
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 8615
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License Number State | NH
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