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General NPI Number Information
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NPI Number | 1215512603
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Entity Type | Individual
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Provider Name | MR. CHRIS BRYAN
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Gender | Male
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2 COTE LN UNIT 5B
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City | BEDFORD
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State | NH
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Zip | 03110-5842
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Country | US
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Telephone | 617-909-4447
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MOUNT LAWNY LN
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City | MERRIMACK
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State | NH
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Zip | 03054-2676
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Country | US
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Telephone | 617-909-4447
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5718
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License Number State | NH
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