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General NPI Number Information
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NPI Number | 1740715317
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Entity Type | Individual
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Provider Name | LORI LYNN SEOG LADC, IDSP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 20 CANAL ST STE 315
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City | FRANKLIN
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State | NH
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Zip | 03235
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Country | US
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Telephone | 603-848-2833
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | FRANKLIN
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State | NH
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Zip | 03235-0130
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Country | US
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Telephone | 603-848-2833
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0124
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License Number State | NH
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