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General NPI Number Information
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NPI Number | 1679890453
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Entity Type | Individual
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Provider Name | CAROLINE JANE CHRISTIE MSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 45 LYME RD STE 200
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City | HANOVER
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State | NH
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Zip | 03755-1260
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Country | US
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Telephone | 603-932-5719
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1347
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City | GRANTHAM
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State | NH
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Zip | 03753-1347
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Country | US
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Telephone | 802-318-7635
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2910
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License Number State | NH
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