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General NPI Number Information
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NPI Number | 1598907412
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Entity Type | Individual
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Provider Name | LAURENCE ELIZABETH HECKSCHER L.P.P
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 15 ERMER ROAD SUITE 215
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City | SALEM
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State | NH
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Zip | 03079-1272
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Country | US
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Telephone | 603-890-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WILDEMERE TER
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City | CONCORD
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State | NH
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Zip | 03301-2575
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Country | US
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Telephone | 603-225-9302
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 64
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License Number State | NH
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