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General NPI Number Information
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NPI Number | 1881669398
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Entity Type | Organization
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Legal Business Name | VASCULAR ASSOCIATES OF THE MERRIMACK VALLEY PC
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Dates
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Enumeration Date | 02/19/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 10 RESEARCH PL SUITE 207
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-2439
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Country | US
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Telephone | 978-453-6900
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Fax | 978-453-6905
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Provider Business Mailing Address
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Address Line | PO BOX 2200
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City | AMHERST
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State | NH
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Zip | 03031-4200
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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Authorized Official
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Title or Position | OWNER
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Name | PAUL M BURKE JR.
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Credential | M.D.
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Telephone | 978-453-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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