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General NPI Number Information
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NPI Number | 1881468296
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Entity Type | Organization
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Legal Business Name | VITAL CARE P.C.
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 30 BANK ST STE 8
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City | LEBANON
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State | NH
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Zip | 03766-1756
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Country | US
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Telephone | 603-678-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 596 SHAKER HILL RD
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City | ENFIELD
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State | NH
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Zip | 03748-3626
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Country | US
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Telephone | 603-723-0870
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSHUA AARON CASCADDEN
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Credential | PA-C
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Telephone | 603-723-0870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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