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General NPI Number Information
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NPI Number | 1255796322
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Entity Type | Organization
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Legal Business Name | NADEAU SENIOR CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 306 KNOX MARSH RD
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City | MADBURY
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State | NH
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Zip | 03823-7537
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Country | US
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Telephone | 603-343-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 306 KNOX MARSH RD
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City | MADBURY
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State | NH
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Zip | 03823-7537
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Country | US
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Telephone | 603-343-4475
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SARA BERNDTSON NADEAU
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Credential |
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Telephone | 603-343-4475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 04128
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License Number State | NH
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