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General NPI Number Information
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NPI Number | 1952386971
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Entity Type | Organization
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Legal Business Name | ENT ASSOCIATES OF NEW HAMPSHIRE PA
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 85 SPRING ST
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-524-7402
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Fax | 603-524-0945
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Provider Business Mailing Address
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Address Line | 85 SPRING ST
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-524-7402
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Fax | 603-524-0945
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Authorized Official
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Title or Position | PHYSICIAN/PARTNER
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Name | PATRICK RYAN STEVENS
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Credential |
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Telephone | 603-233-8742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NH
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