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General NPI Number Information
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NPI Number | 1194680934
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Entity Type | Organization
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Legal Business Name | PEISKOS WELLNESS
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 41 NASHUA RD # 1018
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City | LONDONDERRY
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State | NH
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Zip | 03053-3405
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Country | US
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Telephone | 603-231-1569
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Fax |
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Provider Business Mailing Address
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Address Line | 41 NASHUA RD # 1018
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City | LONDONDERRY
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State | NH
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Zip | 03053-3405
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Country | US
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Telephone | 603-231-1569
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JENNIFER CREMONE
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Credential | APRN
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Telephone | 603-231-1569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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