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General NPI Number Information
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NPI Number | 1962047530
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND RHEUMATOLOGY AND OSTEOPOROSIS
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 168 MAPLE STREET
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City | HENNIKER
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State | NH
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Zip | 03242
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Country | US
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Telephone | 603-903-2946
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Fax |
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Provider Business Mailing Address
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Address Line | 768 W HILL RD
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City | KEENE
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State | NH
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Zip | 03431-2137
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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 | PRESIDENT
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Name | DR. TODD D DAUGHERTY
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Credential | MD
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Telephone | 603-903-2946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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