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General NPI Number Information
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NPI Number | 1922742014
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH ALLIANCE, PLLC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 116 S RIVER RD UNIT D2
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City | BEDFORD
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State | NH
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Zip | 03110-6734
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Country | US
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Telephone | 603-316-4606
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Fax | 888-992-0918
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Provider Business Mailing Address
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Address Line | 116 S RIVER RD UNIT D2
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City | BEDFORD
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State | NH
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Zip | 03110-6734
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Country | US
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Telephone | 603-316-4606
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Fax | 888-992-0918
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM WHITE
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Credential | PA-C
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Telephone | 603-450-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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