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General NPI Number Information
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NPI Number | 1376946467
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Entity Type | Organization
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Legal Business Name | THE BIRCHTREE CENTER
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 2064 WOODBURY AVE SUITE 204
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City | NEWINGTON
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State | NH
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Zip | 03801-7801
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Country | US
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Telephone | 603-433-4192
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Fax | 603-433-3381
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Provider Business Mailing Address
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Address Line | 2064 WOODBURY AVE SUITE 204
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City | NEWINGTON
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State | NH
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Zip | 03801-7801
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Country | US
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Telephone | 603-433-4192
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Fax | 603-433-3381
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MS. HOLLY ROBACHER
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Credential | MBA
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Telephone | 603-433-4192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NH
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