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General NPI Number Information
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NPI Number | 1063255149
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Entity Type | Individual
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Provider Name | CHRISTINE O'MEARA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 1 WARREN ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-1416
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Country | US
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Telephone | 603-238-3149
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CHAPEL LN
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City | HOLDERNESS
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State | NH
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Zip | 03245-5007
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Country | US
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Telephone | 732-245-6827
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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 | 2830
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License Number State | NH
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