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General NPI Number Information
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NPI Number | 1174673354
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Entity Type | Organization
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Legal Business Name | LAKES REGION COMMUNITY SERVICES
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 67 COMMUNICATION DR
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City | LACONIA
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State | NH
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Zip | 03246-1440
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Country | US
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Telephone | 603-524-8811
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Fax | 603-524-0288
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Provider Business Mailing Address
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Address Line | PO BOX 509
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City | LACONIA
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State | NH
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Zip | 03247-0509
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Country | US
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Telephone | 603-524-8811
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Fax | 603-524-0288
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | TONY CHEEK
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Credential |
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Telephone | 603-524-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1426
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0291
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1476
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License Number State | NH
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