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General NPI Number Information
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NPI Number | 1780218065
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Entity Type | Organization
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Legal Business Name | TIMBERLAND HOME CARE INC.
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 2541 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5125
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Country | US
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Telephone | 603-356-2273
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Fax | 603-356-2277
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | CENTER CONWAY
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State | NH
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Zip | 03813-0787
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Country | US
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Telephone | 603-356-2273
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Fax | 603-356-2277
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE REED
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Credential |
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Telephone | 603-662-3981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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