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General NPI Number Information
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NPI Number | 1467436089
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Entity Type | Organization
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Legal Business Name | GOODWIN COMMUNITY HEALTH
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 311 ROUTE 108
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1522
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Country | US
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Telephone | 603-749-2346
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Fax | 603-953-0066
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Provider Business Mailing Address
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Address Line | 311 ROUTE 108
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1522
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Country | US
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Telephone | 603-749-2346
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Fax | 603-953-0066
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JANET MARIE ATKINS
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Credential | RN
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Telephone | 603-956-0063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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