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General NPI Number Information
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NPI Number | 1821360546
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY ACO
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 262 COTTAGE STREET SUITE 230
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City | LITTLETON
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State | NH
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Zip | 03561-4143
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Country | US
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Telephone | 603-259-3700
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Fax | 603-444-0945
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Provider Business Mailing Address
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Address Line | PO BOX 348
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City | LITTLETON
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State | NH
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Zip | 03561-0348
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Country | US
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Telephone | 603-259-3700
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Fax | 603-444-0945
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. NANCY FRANK
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Credential | MPH
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Telephone | 603-259-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | NH
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