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General NPI Number Information
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NPI Number | 1306220561
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Entity Type | Organization
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Legal Business Name | DUBE COUNSELING SERVICE
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 50 NASHUA RD STE 205
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City | LONDONDERRY
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State | NH
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Zip | 03053-3434
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Country | US
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Telephone | 603-848-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 50 NASHUA RD STE 205
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City | LONDONDERRY
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State | NH
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Zip | 03053-3434
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Country | US
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Telephone | 603-848-6347
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MARY DUBE
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Credential | LADC LCS
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Telephone | 603-848-6347
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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 |
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License Number State |
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