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General NPI Number Information
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NPI Number | 1114922788
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Entity Type | Organization
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Legal Business Name | COOS COUNTY INSTITUTION
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 136 COUNTY FARM ROAD
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City | WEST STEWARTSTOWN
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State | NH
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Zip | 03597-0010
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Country | US
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Telephone | 603-246-3321
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Fax | 603-246-8117
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | WEST STEWARTSTOWN
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State | NH
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Zip | 03597-0010
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Country | US
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Telephone | 603-246-3321
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Fax | 603-246-8117
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Authorized Official
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Title or Position | NURSING HOSPITAL ADMINISTRATOR
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Name | MS. SUZANNE L COLLINS
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Credential | NHA
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Telephone | 603-246-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 00049
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License Number State | NH
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