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General NPI Number Information
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NPI Number | 1861695447
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Entity Type | Organization
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Legal Business Name | JONATHAN TERHUNE DMD
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 58 FRANKLIN ST
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City | FRANKLIN
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State | NH
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Zip | 03235-1610
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Country | US
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Telephone | 603-934-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 38 CAMPGROUND RD
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City | WILMOT
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State | NH
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Zip | 03287-4602
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Country | US
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Telephone | 603-526-6151
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Fax |
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Authorized Official
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Title or Position | DENTISTOWNER
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Name | DR. JONATHAN HASTINGS TERHUNE
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Credential | DMD
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Telephone | 603-934-5503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2539
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License Number State | NH
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