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General NPI Number Information
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NPI Number | 1205709532
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Entity Type | Organization
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Legal Business Name | BLUE LOTUS COUNSELING AND WELLNESS CENER, LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 66 PROSPECT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3506
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Country | US
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Telephone | 603-270-9217
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Fax | 603-232-1376
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Provider Business Mailing Address
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Address Line | 66 PROSPECT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3506
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Country | US
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Telephone | 603-270-9217
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Fax | 603-232-1376
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY SIEPER
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Credential | LCMHC, MLADC
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Telephone | 603-270-9217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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