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General NPI Number Information
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NPI Number | 1700385671
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Entity Type | Organization
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Legal Business Name | ASCEND RECOVERY SERVICES PLLC
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 322 W MAIN ST STE 145
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City | TILTON
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State | NH
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Zip | 03276-5037
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Country | US
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Telephone | 207-420-7341
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Fax |
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Provider Business Mailing Address
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Address Line | 148 FARRARVILLE RD
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City | BELMONT
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State | NH
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Zip | 03220-3632
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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 | OWNER
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Name | JOSHUA MARTIN NEW
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Credential | LICSW
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Telephone | 207-420-7341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1927
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License Number State | NH
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