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General NPI Number Information
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NPI Number | 1326224411
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Entity Type | Organization
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Legal Business Name | NASHUA CHILDREN'S HOME
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 125 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03064-2043
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Country | US
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Telephone | 603-883-3851
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Fax | 603-883-5925
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Provider Business Mailing Address
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Address Line | 125 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03064-2043
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Country | US
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Telephone | 603-883-3851
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Fax | 603-883-5925
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID VILLIOTTI
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Credential |
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Telephone | 603-883-3851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1069
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 1069
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License Number State | NH
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