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Organization
DUNNING ST. AMBULATORY CARE CENTER, LLC
Active
Organization
DUNNING ST. AMBULATORY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYL BRADLEY MS, FACMPE (ADMINISTRATOR)
(603) 543-3501
Entity
Organization
Contact information
Practice address
7 DUNNING ST, CLAREMONT, NH 03743-2016
(603) 543-3501
(603) 542-6486
Mailing address
7 DUNNING ST, CLAREMONT, NH 03743-2016
(603) 543-3501
(603) 542-6486
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00800328
VERMONT BLUE SHIELD
VT
05
—
0301007
—
VT
05
—
30005202
—
NH
Enumeration date
04/27/2006
Last updated
12/07/2007
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