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General NPI Number Information
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NPI Number | 1194595173
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Entity Type | Individual
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Provider Name | JAMIE SMITH LCMHC
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Gender | Female
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 21 MERCHANT ST
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City | BARRE
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State | VT
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Zip | 05641-3871
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Country | US
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Telephone | 802-525-9717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | CAMPTON
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State | NH
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Zip | 03223-0148
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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 |
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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 | 2697
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0135633
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License Number State | VT
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