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General NPI Number Information
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NPI Number | 1952360430
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Entity Type | Individual
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Provider Name | JAMES PETER KOREN MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 16 HOSPITAL ROAD SPEARE SURGICAL SERVICES
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-536-5670
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Fax | 603-536-1544
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Provider Business Mailing Address
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Address Line | P.O. BOX 706
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City | PLYMOUTH
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State | NH
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Zip | 03264-0706
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Country | US
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Telephone | 603-481-8757
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Fax | 603-238-2163
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD419656
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 13971
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License Number State | NH
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