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General NPI Number Information
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NPI Number | 1790677839
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Entity Type | Organization
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Legal Business Name | FREEDOMCARE OF NEW HAMPSHIRE LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1045 ELM STREET SUITE 204
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City | MANCHESTER
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State | NH
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Zip | 03101
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Country | US
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Telephone | 603-688-8913
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Fax | 603-945-2553
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Provider Business Mailing Address
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Address Line | 1979 MARCUS AVE STE C115
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1126
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Country | US
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Telephone | 866-845-9978
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Fax | 718-989-3734
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Authorized Official
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Title or Position | LEADER, NATIONAL EXPANSION
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Name | MR. KENNETH JOHN SMITH
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Credential | MSM
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Telephone | 617-959-4115
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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 |
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License Number State |
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