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General NPI Number Information
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NPI Number | 1992544712
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Entity Type | Organization
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Legal Business Name | INTEGRATE
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 10 COMMERCE PARK N STE 13B
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City | BEDFORD
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State | NH
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Zip | 03110-6959
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Country | US
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Telephone | 603-305-9729
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 76
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City | NEWFIELDS
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State | NH
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Zip | 03856-0076
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Country | US
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Telephone | 603-305-9729
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DIANE VACCARELLO
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Credential | MA
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Telephone | 603-305-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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