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General NPI Number Information
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NPI Number | 1457849242
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Entity Type | Individual
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Provider Name | MRS. ELIZABETH NICOLE KEY
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 20 TRI CITY PLZ # 1
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1320
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Country | US
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Telephone | 206-601-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 16 BUTTONWOOD DR
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City | BERWICK
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State | ME
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Zip | 03901-2511
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Country | US
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Telephone | 206-601-9881
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Fax |
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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 | 2219
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License Number State | NH
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