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General NPI Number Information
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NPI Number | 1710399662
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Entity Type | Organization
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Legal Business Name | NE KURN HATTIN HOMES
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 708 KURN HATTIN RD KURN HATTIN HOMES
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City | WESTMINSTER
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State | VT
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Zip | 05158-0000
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Country | US
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Telephone | 802-722-3336
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Fax | 802-722-3174
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Provider Business Mailing Address
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Address Line | PO BOX 127 708 KURN HATTIN RD
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City | WESTMINSTER
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State | VT
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Zip | 05158-0000
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Country | US
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Telephone | 802-722-3336
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Fax | 802-722-3174
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | MS. CHRISTINA M DANFORTH
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Credential | LCMHC
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Telephone | 802-722-6915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8406
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License Number State | MA
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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 | 0890001096
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0680000673
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License Number State | VT
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