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General NPI Number Information
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NPI Number | 1497949770
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Entity Type | Organization
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Legal Business Name | HILLCREST TERRACE
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 200 ALLIANCE WAY
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City | MANCHESTER
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State | NH
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Zip | 03102-8400
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Country | US
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Telephone | 603-645-6500
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Fax | 603-641-1864
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Provider Business Mailing Address
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Address Line | 200 ALLIANCE WAY
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City | MANCHESTER
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State | NH
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Zip | 03102-8400
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Country | US
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Telephone | 603-645-6500
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Fax | 603-641-1864
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. GARY ZABIEREK
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Credential | NHA
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Telephone | 603-645-6500
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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 | 03094
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License Number State | NH
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