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General NPI Number Information
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NPI Number | 1164592085
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE NEAST, LLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 608 CHESTNUT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-1780
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Country | US
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Telephone | 603-668-6956
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Fax | 603-668-6959
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Provider Business Mailing Address
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Address Line | 608 CHESTNUT ST P O BOX 1780
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City | MANCHESTER
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State | NH
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Zip | 03104-1780
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Country | US
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Telephone | 603-668-6956
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Fax | 603-668-6959
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | SARAH ANN COLLIER
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Credential |
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Telephone | 603-668-6956
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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 | 01973
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License Number State | NH
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