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General NPI Number Information
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NPI Number | 1699165365
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Entity Type | Organization
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Legal Business Name | UPWARD SPIRAL MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 18 N MAIN ST SUITE 303
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City | CONCORD
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State | NH
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Zip | 03301-4926
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Country | US
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Telephone | 603-219-0527
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Fax | 603-219-0582
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Provider Business Mailing Address
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Address Line | 18 N MAIN ST SUITE 303
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City | CONCORD
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State | NH
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Zip | 03301-4926
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Country | US
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Telephone | 603-219-0527
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Fax | 603-219-0582
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ARTHOEN A WOLF
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Credential | MS, APRN
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Telephone | 603-219-0527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 040048-23
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License Number State | NH
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