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General NPI Number Information
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NPI Number | 1760555064
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Entity Type | Organization
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Legal Business Name | UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 181 CORLISS LANE
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City | COLEBROOK
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State | NH
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Zip | 03576
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Country | US
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Telephone | 603-237-4971
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Fax | 603-237-4452
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Provider Business Mailing Address
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Address Line | 181 CORLISS LANE
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City | COLEBROOK
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State | NH
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Zip | 03576
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Country | US
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Telephone | 603-237-4971
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Fax | 603-237-4452
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Authorized Official
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Title or Position | VICE PRESIDENT, COMPLIANCE AND RISK
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Name | SUZANNE L LANDRY
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Credential | MBA, CPCO
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Telephone | 603-326-5608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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