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General NPI Number Information
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NPI Number | 1578930699
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Entity Type | Individual
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Provider Name | MARIAH MANNING LPC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4 BICENTENNIAL SQ UNIT 2B
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City | CONCORD
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State | NH
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Zip | 03301-4069
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Country | US
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Telephone | 215-694-0112
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Fax | 215-694-0112
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Provider Business Mailing Address
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Address Line | 94 RUMFORD ST APT 2
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City | CONCORD
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State | NH
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Zip | 03301-4460
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Country | US
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Telephone | 215-694-0112
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC008251
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1254
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License Number State | NH
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