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General NPI Number Information
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NPI Number | 1588337240
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Entity Type | Individual
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Provider Name | LAUREN O'CONNOR LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 4 SHORELINE DR UNIT 6
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City | BOSCAWEN
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State | NH
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Zip | 03303-3523
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Country | US
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Telephone | 978-710-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 PENACOOK RD
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City | HOPKINTON
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State | NH
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Zip | 03229-3032
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Country | US
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Telephone | 978-302-8012
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2269
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License Number State | NH
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