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General NPI Number Information
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NPI Number | 1164634473
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Entity Type | Individual
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Provider Name | DOROTHY JEANNE NOLD MA MSW
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 12/11/2014
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Provider Practice Location Address
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Address Line | 300 MAIN ST SUITE 100
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City | PLYMOUTH
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State | NH
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Zip | 03264-4518
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Country | US
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Telephone | 603-536-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 24 BROOKS CIRCLE
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City | HEBRON
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State | NH
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Zip | 03241
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Country | US
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Telephone | 603-744-7941
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Fax | 603-744-7941
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW6229
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1348
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License Number State | NH
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