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General NPI Number Information
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NPI Number | 1316304298
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Entity Type | Organization
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Legal Business Name | REGIONAL HOME CARE INC.
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 03/12/2016
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Provider Practice Location Address
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Address Line | 103 HANOVER ST UNIT 20
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City | LEBANON
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State | NH
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Zip | 03766-1098
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Country | US
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Telephone | 603-442-9501
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Fax |
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Provider Business Mailing Address
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Address Line | 125 TOLMAN AVE
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City | LEOMINSTER
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State | MA
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Zip | 01453-1912
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Country | US
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Telephone | 978-840-0113
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Fax | 978-840-0115
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Authorized Official
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Title or Position | VP
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Name | MR. JEREMY BROCKMANN
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Credential |
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Telephone | 978-840-0113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 8275
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License Number State | NH
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