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General NPI Number Information
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NPI Number | 1821338344
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Entity Type | Individual
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Provider Name | MATTHEW E. PORTER PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 8 PROSPECT STREET
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City | NASHUA
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State | NH
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Zip | 03060-6983
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Country | US
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Telephone | 603-882-8375
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Fax | 603-886-7163
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Provider Business Mailing Address
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Address Line | PO BOX 3677
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City | NASHUA
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State | NH
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Zip | 03061
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Country | US
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Telephone | 603-577-7900
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Fax | 603-577-7972
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | NH0933
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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