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General NPI Number Information
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NPI Number | 1043032931
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND REGENERATIVE SERVICES LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 405 HUCKINS RD
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City | FREEDOM
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State | NH
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Zip | 03836-4418
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Country | US
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Telephone | 207-632-2657
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 716
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City | WEST OSSIPEE
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State | NH
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Zip | 03890-0716
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Country | US
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Telephone | 207-632-2657
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. ROBERT BROWN
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Credential | DO
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Telephone | 207-632-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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