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General NPI Number Information
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NPI Number | 1831951185
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Entity Type | Organization
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Legal Business Name | JAMESON HARDY ORTHODONTICS ASSOCIATES PC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 92 PINE ST
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5210
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Country | US
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Telephone | 603-356-8940
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Fax | 207-730-7145
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Provider Business Mailing Address
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Address Line | 152 US ROUTE 1 STE 2
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8366
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Country | US
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Telephone | 207-885-4850
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Fax | 207-730-7145
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORIE A WELCH
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Credential |
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Telephone | 207-885-4850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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