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General NPI Number Information
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NPI Number | 1396920344
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Entity Type | Organization
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Legal Business Name | THE CHASE HOME FOR CHILDREN
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 698 MIDDLE RD
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4829
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Country | US
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Telephone | 603-436-2216
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Fax | 603-431-5147
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Provider Business Mailing Address
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Address Line | 698 MIDDLE RD
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City | PORTSMOUTH
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State | NH
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Zip | 03801-4829
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Country | US
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Telephone | 603-436-2216
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Fax | 603-431-5147
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KATHLEEN A MCDERMOTT
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Credential |
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Telephone | 603-436-2216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 1061
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License Number State | NH
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