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General NPI Number Information
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NPI Number | 1891746384
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Entity Type | Individual
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Provider Name | MARK C IBER PA
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 36 CLINTON ST NH HOSPITAL
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-271-5300
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Fax | 603-271-5723
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Provider Business Mailing Address
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Address Line | 398 ROLLER COASTER RD
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City | STRAFFORD
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State | NH
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Zip | 03884-6670
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Country | US
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Telephone | 603-664-2919
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Fax | 603-271-5723
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 103
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License Number State | NH
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