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General NPI Number Information
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NPI Number | 1336910942
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Entity Type | Organization
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Legal Business Name | WESTBORO HOUSE LLC
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 11 ELM ST W
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City | WEST LEBANON
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State | NH
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Zip | 03784-1609
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Country | US
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Telephone | 603-298-8326
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | MEREDITH
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State | NH
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Zip | 03253-0112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | MARY MACINTOSH
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Credential |
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Telephone | 603-630-2664
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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 |
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License Number State |
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