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General NPI Number Information
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NPI Number | 1538330691
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Entity Type | Organization
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Legal Business Name | LAKE SUNAPEE HOME CARE AND HOSPICE
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 107 NEWPORT RD
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City | NEW LONDON
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State | NH
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Zip | 03257
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Country | US
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Telephone | 603-526-4077
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Fax | 603-526-4272
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Provider Business Mailing Address
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Address Line | PO BOX 2209
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City | NEW LONDON
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State | NH
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Zip | 03257-2209
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Country | US
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Telephone | 603-526-4077
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Fax | 603-526-4272
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Authorized Official
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Title or Position | CLIENT ACCOUNTS MANAGER
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Name | MRS. AMY CUSHING
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Credential |
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Telephone | 603-526-4077
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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 | 03031
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License Number State | NH
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