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General NPI Number Information
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NPI Number | 1891642799
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Entity Type | Organization
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Legal Business Name | CONVENIENTMD - FFS UC LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1 INTERCHANGE DR UNIT 2
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City | WEST LEBANON
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State | NH
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Zip | 03784-2011
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Country | US
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Telephone | 603-709-0410
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Fax | 603-709-0409
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Provider Business Mailing Address
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Address Line | 360 US HIGHWAY 1 BYP UNIT 102
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City | PORTSMOUTH
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State | NH
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Zip | 03801-7105
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Country | US
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Telephone | 603-410-6700
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Fax | 603-309-9601
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Authorized Official
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Title or Position | MEDICAL STAFFING LEAD
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Name | RACHEL CASTELLEZ-DAVIDSON
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Credential |
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Telephone | 603-867-1291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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