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General NPI Number Information
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NPI Number | 1619368156
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Entity Type | Organization
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Legal Business Name | BENOIT FAMILY COUNSELING, PLLC
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 10 FERRY ST SUTIE 412
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City | CONCORD
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State | NH
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Zip | 03301-5022
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Country | US
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Telephone | 603-440-8219
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Fax |
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Provider Business Mailing Address
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Address Line | 78 BROOKSIDE LN
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City | DANBURY
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State | NH
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Zip | 03230-4827
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Country | US
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Telephone | 603-440-8219
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | RONALD BENOIT
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Credential | LICSW
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Telephone | 603-440-8219
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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 | 1324
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License Number State | NH
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