Basic Information
Provider Information
NPI: 1386271500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALL
FirstName: CURRIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: PO BOX 4238
Address2:  
City: PORTSMOUTH
State: NH
PostalCode: 038024238
CountryCode: US
TelephoneNumber: 8008894447
FaxNumber:  
Practice Location
Address1: 81 HIGHLAND AVE
Address2:  
City: SALEM
State: MA
PostalCode: 019702714
CountryCode: US
TelephoneNumber: 9787411200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/26/2020
LastUpdateDate: 03/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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