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General NPI Number Information
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NPI Number | 1679914477
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Entity Type | Organization
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Legal Business Name | MELISSA PERRINO, LCMHC
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 24 OPERA HOUSE SQ BOX 33 - SUITE 208
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City | CLAREMONT
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State | NH
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Zip | 03743-5408
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Country | US
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Telephone | 802-236-7552
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Fax |
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Provider Business Mailing Address
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Address Line | 24 OPERA HOUSE SQ BOX 33 - SUITE 208
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City | CLAREMONT
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State | NH
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Zip | 03743-5408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROP
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Name | MELISSA PERRINO
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Credential | LCMHC
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Telephone | 802-236-7552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 858
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License Number State | NH
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