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General NPI Number Information
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NPI Number | 1417133281
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Entity Type | Organization
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Legal Business Name | ANNIE E CASEY FOUNDATION
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 105 LOUDON RD BUILDING #2
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City | CONCORD
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State | NH
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Zip | 03301-5601
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Country | US
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Telephone | 603-224-8909
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Fax | 603-224-2584
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Provider Business Mailing Address
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Address Line | 105 LOUDON RD BUILDING #2
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City | CONCORD
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State | NH
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Zip | 03301-5601
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Country | US
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Telephone | 603-224-8909
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Fax | 603-224-2584
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. PAMELA J SYMS
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Credential |
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Telephone | 603-224-8909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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