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General NPI Number Information
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NPI Number | 1316613524
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Entity Type | Organization
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Legal Business Name | OPEN VIEW THERAPY, LLC
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 783 ELM ST UNIT 4
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City | LACONIA
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State | NH
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Zip | 03246-2370
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Country | US
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Telephone | 415-971-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 65 SALTMARSH POND RD
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City | GILFORD
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State | NH
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Zip | 03249-7508
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Country | US
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Telephone | 415-971-9561
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | MS. MICHELLE ANNE CUTILLO
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Credential | LCSW
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Telephone | 415-971-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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