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General NPI Number Information
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NPI Number | 1134116718
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Entity Type | Organization
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Legal Business Name | BELKNAP COUNTY
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 30 COUNTY DR
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City | LACONIA
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State | NH
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Zip | 03246-2900
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Country | US
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Telephone | 603-527-5410
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Fax | 603-527-5419
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Provider Business Mailing Address
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Address Line | 30 COUNTY DR
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City | LACONIA
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State | NH
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Zip | 03246-2900
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Country | US
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Telephone | 603-527-5410
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Fax | 603-527-5419
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHELLEY RICHARDSON
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Credential |
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Telephone | 603-527-5410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 00089
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 00089
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License Number State | NH
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