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General NPI Number Information
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NPI Number | 1003724063
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Entity Type | Organization
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Legal Business Name | GRANITE STATE HOME CARE , LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 170 COMMERCE WAY
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3226
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Country | US
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Telephone | 603-970-1928
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Fax |
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Provider Business Mailing Address
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Address Line | 170 COMMERCE WAY STE 200
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3272
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Country | US
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Telephone | 603-970-1928
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENDY DOYON
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Credential |
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Telephone | 603-970-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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