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General NPI Number Information
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NPI Number | 1891889788
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Entity Type | Individual
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Provider Name | SAMUEL PARKER DEWEY PA
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 273 COUNTY RD
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City | NEW LONDON
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State | NH
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Zip | 03257-5736
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Country | US
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Telephone | 603-526-5544
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Fax | 603-526-5085
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Provider Business Mailing Address
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Address Line | PO BOX 2150
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City | NEW LONDON
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State | NH
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Zip | 03257-2150
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Country | US
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Telephone | 603-526-5167
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Fax | 603-526-5085
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0039P
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License Number State | NH
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