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General NPI Number Information
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NPI Number | 1841401627
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEW HAMPSHIRE OBGYN
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 S MAIN ST SUITE 2
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City | MANCHESTER
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State | NH
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Zip | 03102-4405
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Country | US
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Telephone | 603-624-8491
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Fax | 603-625-1622
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Provider Business Mailing Address
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Address Line | 50 S MAIN ST SUITE 2
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City | MANCHESTER
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State | NH
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Zip | 03102-4405
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Country | US
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Telephone | 603-624-8491
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Fax | 603-625-1622
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Authorized Official
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Title or Position | M.D. , PRESIDENT
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Name | MR. THOMAS J BARRETT
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Credential | M.D.
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Telephone | 603-624-8491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5701
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License Number State | NH
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