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General NPI Number Information
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NPI Number | 1144761230
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Entity Type | Organization
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Legal Business Name | MOQUIN PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 61 NORTH ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3029
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Country | US
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Telephone | 603-606-2452
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Fax | 603-782-3028
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Provider Business Mailing Address
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Address Line | 61 NORTH ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3029
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Country | US
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Telephone | 603-606-2452
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Fax | 603-782-3028
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DENISE J MOQUIN
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Credential | PSYD
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Telephone | 603-315-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1230
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License Number State | NH
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