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General NPI Number Information
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NPI Number | 1346029139
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Entity Type | Organization
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Legal Business Name | CLEAR VIEW PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 84 BAY ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3041
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Country | US
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Telephone | 603-913-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ROSEGATE FARM DR
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City | MANCHESTER
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State | NH
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Zip | 03109-5133
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Country | US
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Telephone | 603-913-3135
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KATHLEEN CZARNEC
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Credential | APRN, PMHNP-BC
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Telephone | 603-913-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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