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General NPI Number Information
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NPI Number | 1396629820
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Entity Type | Organization
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Legal Business Name | SOUTHERN NEW HAMPSHIRE OCD AND ANXIETY SERVICES PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 360 ROUTE 101 STE 14C
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City | BEDFORD
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State | NH
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Zip | 03110-5046
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Country | US
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Telephone | 603-634-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 360 ROUTE 101 STE 14C
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City | BEDFORD
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State | NH
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Zip | 03110-5046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID BRADLEY
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Credential | PH.D.
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Telephone | 603-634-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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