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General NPI Number Information
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NPI Number | 1588027189
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Entity Type | Organization
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Legal Business Name | NORCROSS CIRCLE ASSOCIATES
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 16 NORCROSS CIRCLE
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City | NORTH CONWAY
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State | NH
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Zip | 03860
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Country | US
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Telephone | 603-662-2196
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Fax | 603-356-5601
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Provider Business Mailing Address
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Address Line | PO BOX 1161
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City | NORTH CONWAY
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State | NH
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Zip | 03860
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Country | US
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Telephone | 603-662-2196
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Fax | 603-356-5601
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | CATHERINE MARRS BRINGS
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Credential | LICSW
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Telephone | 603-662-2196
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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 | 1300
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License Number State | NH
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