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General NPI Number Information
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NPI Number | 1467843938
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Entity Type | Organization
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Legal Business Name | KATIE MASKOWITZ LICSW PLLC
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 66 PROSPECT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3506
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Country | US
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Telephone | 603-722-2776
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Fax |
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Provider Business Mailing Address
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Address Line | 66 PROSPECT ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3506
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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 | LICSW
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Name | KATIE MASKOWITZ
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Credential |
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Telephone | 603-722-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1797
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License Number State | NH
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