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General NPI Number Information
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NPI Number | 1841342540
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Entity Type | Organization
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Legal Business Name | SPEARE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 103 BOULDER POINT DRIVE
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-536-1881
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Fax | 603-238-2198
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Provider Business Mailing Address
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Address Line | 16 HOSPITAL RD
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City | PLYMOUTH
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State | NH
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Zip | 03264-1126
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Country | US
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Telephone | 603-238-2204
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Fax | 603-536-2034
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHELLE L MCEWEN
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Credential |
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Telephone | 603-536-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 01300
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License Number State | NH
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