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General NPI Number Information
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NPI Number | 1679059968
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Entity Type | Organization
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Legal Business Name | LIFE IMPROVED, LLC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 300 MAIN STREET, SUITE 200
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-536-5848
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Fax | 603-536-5848
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Provider Business Mailing Address
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Address Line | P.O. BOX 618
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City | PLYMOUTH
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State | NH
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Zip | 03264
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Country | US
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Telephone | 603-536-5848
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Fax | 603-536-5848
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST/MANAGER
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Name | MS. ELIZABETH LACHAPELLE
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Credential | PH.D.
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Telephone | 603-536-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4999
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 891
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License Number State | NH
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