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General NPI Number Information
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NPI Number | 1235062613
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Entity Type | Organization
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Legal Business Name | SUNAPEE HARBOR HEALTH LLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 6 HOLMES LN
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City | SUNAPEE
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State | NH
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Zip | 03782-3038
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Country | US
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Telephone | 603-384-3684
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Fax | 603-316-3038
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Provider Business Mailing Address
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Address Line | 6 HOLMES LN
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City | SUNAPEE
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State | NH
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Zip | 03782-3038
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Country | US
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Telephone | 603-384-3684
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Fax | 603-316-3038
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN HOLOBOWICZ JR.
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Credential |
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Telephone | 603-384-3684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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