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General NPI Number Information
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NPI Number | 1447155411
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Entity Type | Organization
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Legal Business Name | LIFE SEASONS MENTAL HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 633 MAPLE ST STE 2
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City | HOPKINTON
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State | NH
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Zip | 03229-3377
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Country | US
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Telephone | 603-852-0639
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Fax | 603-250-2370
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | CONTOOCOOK
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State | NH
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Zip | 03229-0092
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Country | US
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Telephone | 603-852-0639
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Fax | 603-250-2370
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER MAYNARD
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Credential | APRN
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Telephone | 603-852-0639
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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 | NULL
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