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General NPI Number Information
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NPI Number | 1306700448
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Entity Type | Organization
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Legal Business Name | THE PARENT FORGE
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1045 ELM ST STE 204
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City | MANCHESTER
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State | NH
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Zip | 03101-1844
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Country | US
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Telephone | 617-213-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 1045 ELM ST STE 204
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City | MANCHESTER
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State | NH
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Zip | 03101-1844
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Country | US
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Telephone | 617-213-1521
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | AMA ABADOO BREW
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Credential |
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Telephone | 617-213-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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