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General NPI Number Information
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NPI Number | 1104523174
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Entity Type | Organization
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Legal Business Name | JASON FORBES THERAPY
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 83 PEELE RD
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City | NASHUA
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State | NH
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Zip | 03062-2519
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Country | US
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Telephone | 603-321-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 83 PEELE RD
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City | NASHUA
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State | NH
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Zip | 03062-2519
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MR. JASON FORBES
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Credential |
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Telephone | 603-321-9333
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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 |
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License Number State |
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