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General NPI Number Information
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NPI Number | 1891721262
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Entity Type | Organization
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Legal Business Name | CROTCHED MOUNTAIN REHABILITATION CENTER, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1 VERNEY DR
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City | GREENFIELD
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State | NH
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Zip | 03047-5000
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Country | US
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Telephone | 603-547-3311
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Fax | 603-547-3232
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Provider Business Mailing Address
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Address Line | 1 VERNEY DR
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City | GREENFIELD
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State | NH
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Zip | 03047-5000
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Country | US
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Telephone | 603-547-3311
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Fax | 603-547-3232
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | KELLY WARD
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Credential |
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Telephone | 603-547-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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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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