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General NPI Number Information
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NPI Number | 1437416104
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Entity Type | Individual
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Provider Name | SUSAN LEIGH CURTIS LCMHC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 11/17/2019
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Provider Practice Location Address
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Address Line | 131C MAIN ST
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City | EPPING
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State | NH
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Zip | 03042-2428
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Country | US
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Telephone | 36-693-6265
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Fax | 603-693-6265
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Provider Business Mailing Address
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Address Line | 131C MAIN ST
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City | EPPING
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State | NH
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Zip | 03042-2428
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Country | US
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Telephone | 36-693-6265
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Fax | 603-693-6265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 869
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License Number State | NH
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