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General NPI Number Information
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NPI Number | 1730987082
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Entity Type | Organization
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Legal Business Name | SOBRIETY CENTERS OF NEW HAMPSHIRE, LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 100 AUTUMN DR
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City | TILTON
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State | NH
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Zip | 03276-5935
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Country | US
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Telephone | 603-808-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MAIN ST
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City | ANTRIM
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State | NH
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Zip | 03440-3906
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Country | US
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Telephone | 603-808-0185
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | PAUL GILBERT
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Credential |
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Telephone | 615-545-5519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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