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General NPI Number Information
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NPI Number | 1932043627
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND NEUROVASCULAR ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 333 BORTHWICK AVE STE 100
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4198
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Country | US
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Telephone | 603-436-5110
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Fax |
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Provider Business Mailing Address
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Address Line | REGISTERED AGENTS INC, 84 W BROADWAY, STE 200
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City | DERRY
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State | NH
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Zip | 03038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AJIT S PURI
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Credential | MD
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Telephone | 617-543-5882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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