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General NPI Number Information
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NPI Number | 1821506841
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Entity Type | Organization
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Legal Business Name | LITTLETON HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 01/11/2018
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Provider Practice Location Address
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Address Line | 11 RIVERGLEN LN STE 150
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City | LITTLETON
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State | NH
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Zip | 03561-5751
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Country | US
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Telephone | 603-444-3352
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160
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City | LITTLETON
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State | NH
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Zip | 03561-0160
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Country | US
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Telephone | 603-259-7627
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Fax | 603-735-6070
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Authorized Official
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Title or Position | VP FINANCE
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Name | LESLIE WALKER
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Credential |
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Telephone | 603-444-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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