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General NPI Number Information
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NPI Number | 1861503567
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Entity Type | Individual
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Provider Name | CHRISTOPHER CHILDS DAIGLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 166 KINSLEY ST STE 101
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City | NASHUA
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State | NH
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Zip | 03060-3676
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Country | US
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Telephone | 603-889-4131
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Fax | 603-889-6419
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Provider Business Mailing Address
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Address Line | C/O ST MARY'S HEALTH SYSTEM PO BOX 7291
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City | LEWISTON
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State | ME
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Zip | 04243-7291
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Country | US
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Telephone | 207-777-8695
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Fax | 207-777-8800
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 11656
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 11656
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License Number State | NH
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