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General NPI Number Information
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NPI Number | 1912524331
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Entity Type | Organization
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Legal Business Name | HIGH MOUNTAIN HOME CARE, INC.
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 252 STRATTON RD
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City | RUTLAND
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State | VT
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Zip | 05701-4623
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Country | US
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Telephone | 802-747-1994
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Fax | 802-747-1996
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Provider Business Mailing Address
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Address Line | 75 ALLEN ST
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City | RUTLAND
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State | VT
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Zip | 05701-4501
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Country | US
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Telephone | 802-775-2545
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Fax | 802-773-7748
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY SCOTT HOCHBERG
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Credential |
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Telephone | 802-775-2545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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