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General NPI Number Information
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NPI Number | 1417833435
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY PSYCHIATRY P.L.L.C.
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3 LEBANON ST STE 39
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City | HANOVER
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State | NH
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Zip | 03755-2158
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Country | US
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Telephone | 802-526-4810
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Fax | 603-448-0661
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Provider Business Mailing Address
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Address Line | 3 LEBANON ST STE 39
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City | HANOVER
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State | NH
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Zip | 03755-2196
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Country | US
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Telephone | 802-526-4810
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Fax | 603-448-0661
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Authorized Official
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Title or Position | OWNER
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Name | DR. CASSIE A KOSAREK
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Credential | MD
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Telephone | 802-526-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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