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General NPI Number Information
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NPI Number | 1417105578
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Entity Type | Organization
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Legal Business Name | SB NURSING CARE MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 43 FEDERAL CORNER ROAD
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City | CENTER TUFTONBORO
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State | NH
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Zip | 03816
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Country | US
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Telephone | 603-569-0145
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Fax | 603-569-0146
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Provider Business Mailing Address
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Address Line | PO BOX 65
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City | CENTER TUFTONBORO
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State | NH
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Zip | 03816-0065
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Country | US
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Telephone | 603-569-0145
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Fax | 603-569-0146
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. SANDRA ANN BABALIS
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Credential | RN, CHCE
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Telephone | 603-569-0145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03379
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License Number State | NH
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