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General NPI Number Information
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NPI Number | 1275757189
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Entity Type | Individual
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Provider Name | MR. NICHOLAS MELCHIOR AUERBACH
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 62 MAIN ST STE 206
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City | KINGSTON
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State | MA
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Zip | 02364-3071
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Country | US
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Telephone | 774-454-5866
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Fax | 320-388-1794
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Provider Business Mailing Address
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Address Line | 62 MAIN ST STE 206
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City | KINGSTON
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State | MA
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Zip | 02364-3071
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Country | US
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Telephone | 781-332-4807
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Fax | 320-388-1794
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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 | 7689
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License Number State | MA
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