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General NPI Number Information
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NPI Number | 1952660847
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Entity Type | Organization
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Legal Business Name | MANCHESTER OBSTETRICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 150 TARRYTOWN RD
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City | MANCHESTER
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State | NH
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Zip | 03103-2713
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Country | US
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Telephone | 603-622-3162
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Fax | 603-622-8677
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Provider Business Mailing Address
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Address Line | 150 TARRYTOWN RD
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City | MANCHESTER
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State | NH
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Zip | 03103-2713
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Country | US
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Telephone | 603-622-3162
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Fax | 603-622-8677
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HEIDI L MEINZ
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Credential | M.D.
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Telephone | 603-622-3162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 054314-23
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License Number State | NH
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