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General NPI Number Information
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NPI Number | 1215444161
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Entity Type | Organization
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Legal Business Name | C. PATRICIA HANLEY, PH.D PLLC
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Dates
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Enumeration Date | 01/01/2018
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 17 MAIN ST
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City | DURHAM
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State | NH
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Zip | 03824-2501
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Country | US
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Telephone | 603-817-5170
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 862
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City | DURHAM
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State | NH
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Zip | 03824-0862
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Country | US
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Telephone | 603-817-5170
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Fax |
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Authorized Official
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Title or Position | MEMBER/PSYCHOLOGIST
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Name | DR. C. PATRICIA HANLEY
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Credential | PH.D.
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Telephone | 603-817-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 511
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License Number State | NH
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