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General NPI Number Information
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NPI Number | 1851888002
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Entity Type | Organization
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Legal Business Name | LINCOLN TERRACE HOME
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 11 LINCOLN ST
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City | ROCHESTER
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State | NH
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Zip | 03867-3008
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Country | US
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Telephone | 603-330-3030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7185
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City | ROCHESTER
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State | NH
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Zip | 03839-7185
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Country | US
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Telephone | 603-455-6752
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Fax | 603-335-6172
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Authorized Official
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Title or Position | OWNER
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Name | EROL DUYMAZLAR
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Credential |
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Telephone | 603-455-6752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 04243
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License Number State | NH
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