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General NPI Number Information
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NPI Number | 1710874920
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Entity Type | Individual
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Provider Name | MADELINE SIMPSON LCMHC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 145 HOLLIS ST
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City | MANCHESTER
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State | NH
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Zip | 03101-1235
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Country | US
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Telephone | 603-626-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 21 W RIVER DR APT 3
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City | MANCHESTER
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State | NH
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Zip | 03104-1911
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Country | US
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Telephone | 603-315-4077
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Fax | 603-315-4077
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4961
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License Number State | NH
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