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General NPI Number Information
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NPI Number | 1548648454
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Entity Type | Organization
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Legal Business Name | RUTH ELLIOTT LICSW
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 200 N STATE ST
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City | CONCORD
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State | NH
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Zip | 03301-3222
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Country | US
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Telephone | 603-556-2897
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Fax | 886-582-5384
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Provider Business Mailing Address
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Address Line | 88 E HUNTRESS POND RD
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City | CENTER BARNSTEAD
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State | NH
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Zip | 03225-3718
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Country | US
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Telephone | 603-556-2897
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Fax | 886-582-5384
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Authorized Official
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Title or Position | OWNER
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Name | RUTH ELLIOTT
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Credential |
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Telephone | 603-556-2897
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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 | 1192
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License Number State | NH
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