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NPI Profile for STEPHEN T BEAUDOIN in DERRY, NH.
An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1548401128 |
|
| Status | Active | |
| Credentials | CO | |
| Entity | Individual | |
| Enumeration date | 03/11/2009 | |
| Last updated | 03/11/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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STEPHEN T BEAUDOIN
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STEPHEN T BEAUDOIN, CO