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General NPI Number Information
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NPI Number | 1952450082
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Entity Type | Organization
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Legal Business Name | STATE OF NEW HAMPSHIRE
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 218 EAST ROAD
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City | HAMPSTEAD
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State | NH
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Zip | 03841-2305
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Country | US
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Telephone | 603-329-5311
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Fax | 603-329-4746
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Provider Business Mailing Address
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Address Line | 218 EAST ROAD
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City | HAMPSTEAD
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State | NH
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Zip | 03841-2305
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Country | US
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Telephone | 603-329-5311
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Fax | 603-329-4746
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Authorized Official
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Title or Position | ASSOCIATE COMMISSIONER
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Name | MORISSA HEN
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Credential |
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Telephone | 603-271-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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