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General NPI Number Information
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NPI Number | 1639086226
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Entity Type | Organization
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Legal Business Name | EVERGREEN THERAPY NH LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 201 WATSON RD
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City | DOVER
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State | NH
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Zip | 03820-5823
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Country | US
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Telephone | 732-402-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 E VETERANS HWY STE 101
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City | JACKSON
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State | NJ
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Zip | 08527-5092
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Country | US
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Telephone | 732-226-8855
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Fax | 732-913-3844
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | AHARON STERN
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Credential |
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Telephone | 732-402-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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