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General NPI Number Information
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NPI Number | 1558002576
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Entity Type | Organization
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Legal Business Name | BE ONE, LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 22 BRIDGE ST STE 19
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City | CONCORD
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State | NH
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Zip | 03301-4987
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Country | US
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Telephone | 603-441-0600
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Fax | 603-441-0644
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Provider Business Mailing Address
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Address Line | 22 BRIDGE ST STE 19
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City | CONCORD
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State | NH
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Zip | 03301-4987
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Country | US
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Telephone | 603-441-0600
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Fax | 603-441-0644
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Authorized Official
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Title or Position | OWNER
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Name | PHOEBE AXTMAN
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Credential |
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Telephone | 603-441-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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