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General NPI Number Information
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NPI Number | 1952503898
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Entity Type | Organization
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Legal Business Name | NEW HAMPSHIRE DEPARTMENT OF CORRECTIONS
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | PO BOX 1806
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City | CONCORD
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State | NH
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Zip | 03302-1806
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Country | US
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Telephone | 603-271-5563
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Fax |
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Provider Business Mailing Address
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Address Line | 281 N STATE ST PO BOX 14
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City | CONCORD
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State | NH
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Zip | 03301-3227
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Country | US
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Telephone | 603-271-6480
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Fax | 603-271-6479
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Authorized Official
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Title or Position | ACTING DIRECTOR
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Name | MICHELLE EDMARK
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Credential |
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Telephone | 603-271-5563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number | 0333
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License Number State | NH
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