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General NPI Number Information
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NPI Number | 1275917353
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Entity Type | Individual
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Provider Name | KAREN J MCNAMARA LADC, SAP, IDSP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 264 MAIN STREET BRIDGE PROJECT
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City | LINCOLN
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State | NH
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Zip | 03251
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Country | US
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Telephone | 603-540-4644
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Fax | 603-292-0131
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Provider Business Mailing Address
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Address Line | PO BOX 1268
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City | LINCOLN
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State | NH
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Zip | 03251-1268
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Country | US
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Telephone | 603-540-4644
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Fax | 603-292-0131
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0390
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License Number State | NH
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