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General NPI Number Information
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NPI Number | 1952113391
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Entity Type | Organization
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Legal Business Name | LAND OF MORIAH CARE
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 18 NORMANDY WAY
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City | NASHUA
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State | NH
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Zip | 03063-3322
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Country | US
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Telephone | 978-888-4762
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Fax |
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Provider Business Mailing Address
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Address Line | 708 W HOLLIS ST
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City | NASHUA
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State | NH
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Zip | 03062-1362
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Country | US
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Telephone | 603-943-1931
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Fax |
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Authorized Official
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Title or Position | DIRECTOR AND FOUNDER
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Name | MR. STRATON K MITALI
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Credential | RN
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Telephone | 603-943-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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