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NPI 1376245787

NPI 1376245787 : THE INN AT DEERFIELD, INC : DEERFIELD, NH

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General NPI Number Information
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    NPI Number           |    1376245787
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE INN AT DEERFIELD, INC 
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Dates
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    Enumeration Date     |    03/20/2023
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    Last Update Date     |    03/20/2023
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Provider Practice Location Address
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    Address Line         |    34 RIDGE RD 
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    City                 |    DEERFIELD
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    State                |    NH
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    Zip                  |    03037-1407
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    Country              |    US
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    Telephone            |    603-463-7002
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 87 
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    City                 |    DEERFIELD
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    State                |    NH
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    Zip                  |    03037-0087
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    Country              |    US
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    Telephone            |    603-463-7002
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FINANCIAL CONTROLLER
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    Name                 |     JAMIE  TAYLOR 
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    Credential           |    
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    Telephone            |    603-463-7002
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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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