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General NPI Number Information
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NPI Number | 1841290939
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Entity Type | Organization
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Legal Business Name | COUNTY OF HILLSBOROUGH
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 400 MAST RD
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City | GOFFSTOWN
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State | NH
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Zip | 03045-2427
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Country | US
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Telephone | 603-627-5540
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Fax | 603-627-5547
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Provider Business Mailing Address
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Address Line | 400 MAST RD
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City | GOFFSTOWN
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State | NH
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Zip | 03045-2427
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Country | US
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Telephone | 603-627-5540
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Fax | 603-627-5547
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRUCE C MOOREHEAD
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Credential | NHA
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Telephone | 603-627-5540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 00640
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License Number State | NH
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