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General NPI Number Information
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NPI Number | 1669842365
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Entity Type | Individual
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Provider Name | KAREN SNYDER BADAU PHD
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Gender | Female
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 40 CROSBY SREET CRESTWOOD CENTER
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City | MILFORD
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State | NH
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Zip | 03055
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Country | US
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Telephone | 603-673-7061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2243
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City | CONCORD
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State | NH
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Zip | 03302-2243
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Country | US
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Telephone | 603-545-4657
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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 | 014338-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1211
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License Number State | NH
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