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General NPI Number Information
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NPI Number | 1528185790
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Entity Type | Individual
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Provider Name | MIRIAM DUNN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 491 AMHERST ST 27
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City | NASHUA
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State | NH
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Zip | 03063-1259
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Country | US
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Telephone | 603-889-4694
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Fax | 603-889-4694
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Provider Business Mailing Address
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Address Line | 4 WINTER ST
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City | PETERBOROUGH
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State | NH
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Zip | 03458-1407
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Country | US
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Telephone | 603-924-6144
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Fax | 603-889-4694
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 68
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License Number State | NH
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