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General NPI Number Information
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NPI Number | 1881042828
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE DERM CLINIC, PLLC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 454 OLD STREET RD STE 202
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City | PETERBOROUGH
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State | NH
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Zip | 03458-1200
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Country | US
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Telephone | 603-213-0806
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Fax | 844-369-5320
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Provider Business Mailing Address
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Address Line | 454 OLD STREET RD STE 202
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City | PETERBOROUGH
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State | NH
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Zip | 03458-1200
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Country | US
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Telephone | 603-213-0806
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Fax | 844-369-5320
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Authorized Official
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Title or Position | NP
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Name | BRIAN PETER CROMER
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Credential |
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Telephone | 603-213-0806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 05812823
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License Number State | NH
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