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General NPI Number Information
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NPI Number | 1841386968
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Entity Type | Individual
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Provider Name | ERIC K LARSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 280 PLEASANT STREET SUITE 12
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City | CONCORD
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State | NH
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Zip | 03301-2553
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Country | US
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Telephone | 603-228-5420
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Fax | 603-228-7228
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Provider Business Mailing Address
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Address Line | 280 PLEASANT ST SUITE 12
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City | CONCORD
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State | NH
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Zip | 03301-2553
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Country | US
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Telephone | 603-228-5420
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Fax | 603-228-7228
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 7414
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License Number State | NH
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