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General NPI Number Information
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NPI Number | 1265630412
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Entity Type | Individual
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Provider Name | DEBORAH JO EMERY MS, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | ONE OLD DOVER ROAD SUITE #6
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City | ROCHESTER
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State | NH
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Zip | 03867
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Country | US
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Telephone | 603-433-3070
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Fax | 603-590-2264
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Provider Business Mailing Address
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Address Line | PO BOX 7404
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City | ROCHESTER
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State | NH
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Zip | 03839
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Country | US
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Telephone | 603-433-3070
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Fax | 603-590-2264
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 814
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License Number State | NH
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