LOREN BLAKE


Address: 213 Winding Pond Rd, Londonderry, NH 03053-3378
Phone: 6034907107

LOREN BLAKE (NPI# 1164835229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164835229
Entity Type Individual
Full Name LOREN BLAKE
Practice Address 213 Winding Pond Rd
Londonderry
NH 03053-3378
Practice Telephone 6034907107
Enumeration Date 2014-06-06
Last Update Date 2016-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 284393 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 213 WINDING POND RD
City LONDONDERRY
State NH
Zip Code 03053-3378

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1619325990 Darin Gray Physician Assistant 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 2016-05-27
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1780068098 Paul Timothy Hellings Orthotist 136 Harvey Rd Ste A105, Londonderry, NH 03053 2015-07-16
1962805960 Liani Perez Social Worker 5 Picadilly Circle, Londonderry, NH 03053 2014-10-03
1871921007 Debra Ann Champa Physical Therapy Assistant 1 Cardinal Circle, Londonderry, NH 03053 2013-10-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1780208686 Bethany Health Services General Practice 10 Benning St Ste 160 #208, West Lebanon, NH 03784-3402 2020-06-05
1750865093 Motivated Health Choices, Pllc General Practice 134 Newton Rd Unit 11, Plaistow, NH 03865-2419 2018-09-22
1457713117 Nathaniel John Irvine General Practice Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 2016-03-22
1225351042 Lisa Ann Jacobs General Practice 251 Sunset Rd., Fitzwilliam, NH 03447 2010-03-08
1114169125 Michelle Frances Lackovic General Practice 131 Morningside Ln, Charlestown, NH 03603-4210 2009-04-06
1811906027 Denrick Leo Crespi General Practice 167 South River Road, Suite C, Bedford, NH 03110-6931 2006-08-05
1386673952 Indian Stream Health Center, Inc General Practice 141 Corliss Lane, Colebrook, NH 03576 2006-07-03
1134116981 County of Strafford General Practice 276 County Farm Rd, Dover, NH 03820-6003 2005-10-05
1053319517 County of Grafton General Practice 3855 Dartmouth College Hwy, North Haverhill, NH 03774-4909 2005-07-08
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Competitor

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City LONDONDERRY
Zip Code 03053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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