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General NPI Number Information
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NPI Number | 1699147348
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Entity Type | Organization
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Legal Business Name | HESELTON HOMECARE INC
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 1 OLD DOVER RD STE 6
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City | ROCHESTER
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State | NH
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Zip | 03867-3460
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Country | US
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Telephone | 603-969-7153
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Fax | 603-452-4445
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Provider Business Mailing Address
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Address Line | 1 OLD DOVER RD STE 6
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City | ROCHESTER
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State | NH
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Zip | 03867-3460
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Country | US
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Telephone | 603-969-7153
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. LISA HESELTON
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Credential | RN
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Telephone | 603-969-7153
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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 | 04044
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License Number State | NH
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