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General NPI Number Information
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NPI Number | 1376973511
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Entity Type | Organization
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Legal Business Name | NORTHERN NEW HAMPSHIRE HEALTHCARE COLLABORATIVE INC
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 278 MAIN ST
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City | LANCASTER
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State | NH
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Zip | 03584-3039
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Country | US
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Telephone | 800-750-2366
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Fax | 603-788-5279
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Provider Business Mailing Address
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Address Line | 59 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3531
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Country | US
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Telephone | 603-326-5625
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Fax | 603-752-1836
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. SCOTT W HOWE
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Credential |
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Telephone | 603-788-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 02626
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License Number State | NH
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