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General NPI Number Information
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NPI Number | 1053126342
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Entity Type | Individual
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Provider Name | CHRISTIAN DURGIN LCMHC
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Gender | Male
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 10 ALICE PECK DAY DR
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City | LEBANON
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State | NH
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Zip | 03766-2900
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Country | US
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Telephone | 603-308-0675
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 823
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City | WILDER
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State | VT
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Zip | 05088-0823
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Country | US
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Telephone | 802-356-2677
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4810
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License Number State | NH
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