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General NPI Number Information
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NPI Number | 1033855671
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Entity Type | Organization
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Legal Business Name | CHERYL A CARROLL
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 3B TAGGART DR
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City | NASHUA
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State | NH
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Zip | 03060-5592
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Country | US
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Telephone | 978-496-9276
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Fax |
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Provider Business Mailing Address
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Address Line | 3B TAGGART DR
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City | NASHUA
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State | NH
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Zip | 03060-5592
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Country | US
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Telephone | 978-496-9276
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NOREEN LABATT
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Credential |
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Telephone | 603-305-8520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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