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NPI Code Detail

MEDICARE: WILLIAM HYDE

MEDICARE: WILLIAM HYDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist103NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27706638Y0NH01OTHERNHMATTHEW THORNTON

General Provider Information

NPI Number : 1093834509
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HYDE
Provider Business Mailing Address
First Line : 87 WASHINGTON ST
Second Line :
City : CONWAY
State : NH
Zip : 03818-6044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 W MAIN ST
Second Line :
City : CONWAY
State : NH
Zip : 03818-6142
Country : US
Telephone Number : 603-447-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ WILLIAM HYDE ” Practice Location

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