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General NPI Number Information
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NPI Number | 1609244789
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Entity Type | Organization
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Legal Business Name | BRESNAHAN & BALL COUNSELING SERVICES
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 1 B COMMONS DRIVE SUITE 7
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City | LONDONDERRY
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State | NH
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Zip | 03053
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Country | US
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Telephone | 603-965-6477
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Fax | 603-483-8071
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Provider Business Mailing Address
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Address Line | 272 APPLETREE ROAD
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City | AUBURN
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State | NH
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Zip | 03032
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Country | US
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Telephone | 603-965-6477
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Fax | 603-483-8071
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Authorized Official
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Title or Position | OWNER
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Name | MS. JOANNE BRESNAHAN-BALL
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Credential | MLADC, SAP
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Telephone | 603-965-6477
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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 | 623
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0589
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License Number State | NH
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