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General NPI Number Information
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NPI Number | 1255448700
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH HOME CARE OF GREATER PORTSMOUTH, INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/14/2017
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Provider Practice Location Address
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Address Line | 5 DARTMOUTH DR SUITE #303
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City | AUBURN
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State | NH
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Zip | 03032-3984
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Country | US
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Telephone | 603-437-8239
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Fax | 603-437-8549
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Provider Business Mailing Address
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Address Line | 1985 MARCUS AVENUE SUITE 202
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City | LAKE SUCCESS
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State | NY
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Zip | 11042-2029
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Country | US
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Telephone | 718-468-4747
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Fax | 718-264-5834
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Authorized Official
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Title or Position | BOARD MEMBER/PRESIDENT
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Name | ROBERT MARX
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Credential |
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Telephone | 718-468-4747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03059
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License Number State | NH
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