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General NPI Number Information
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NPI Number | 1194960229
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Entity Type | Organization
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Legal Business Name | APPLEGATE GARDENS, LLC.
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 141 MOUNTAIN RD
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City | CENTER TUFTONBORO
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State | NH
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Zip | 03816-5053
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Country | US
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Telephone | 603-539-1080
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Fax | 603-539-1080
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Provider Business Mailing Address
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Address Line | PO BOX 644
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City | WOLFEBORO FALLS
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State | NH
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Zip | 03896-0644
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Country | US
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Telephone | 603-539-1080
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Fax | 603-539-1080
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. TERRY MITCHELL
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Credential |
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Telephone | 603-539-1080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 03380
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License Number State | NH
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