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General NPI Number Information
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NPI Number | 1255328159
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Entity Type | Organization
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Legal Business Name | THE RIVERWOODS COMPANY AT EXETER, NEW HAMPSHIRE
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 7 RIVERWOODS DR RIVERWOODS AT EXETER
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City | EXETER
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State | NH
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Zip | 03833-4374
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Country | US
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Telephone | 603-742-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RIVERWOODS DR
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City | EXETER
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State | NH
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Zip | 03833-4374
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Country | US
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Telephone | 603-742-4700
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING COORDINATOR
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Name | MRS. CRYSTAL FLOYD
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Credential |
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Telephone | 603-658-1580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 140784
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 02112
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License Number State | NH
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