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General NPI Number Information
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NPI Number | 1033976402
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Entity Type | Organization
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Legal Business Name | GRAY AREA, PLLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 505 W HOLLIS ST STE 210
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City | NASHUA
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State | NH
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Zip | 03062-1387
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Country | US
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Telephone | 802-490-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 38 ALSUN DR
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City | HOLLIS
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State | NH
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Zip | 03049-6211
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Country | US
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Telephone | 802-558-4316
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIK GRAY
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Credential | LMFT
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Telephone | 802-558-4316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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