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General NPI Number Information
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NPI Number | 1801359302
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Entity Type | Organization
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Legal Business Name | ANDROSCOGGIN VALLEY HOSPITAL, INC.
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 7 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3531
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Country | US
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Telephone | 603-752-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 59 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3531
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Country | US
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Telephone | 603-752-2200
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Fax | 603-752-1836
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Authorized Official
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Title or Position | AVH SR. DIRECTOR, MED STAFF OFFICE
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Name | MS. SUZANNE L LANDRY
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Credential | 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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