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General NPI Number Information
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NPI Number | 1750053765
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Entity Type | Organization
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Legal Business Name | KIMBERLY CAPONE
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 6 MOHAWK DR UNIT 4
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City | LONDONDERRY
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State | NH
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Zip | 03053-3707
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Country | US
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Telephone | 508-314-6335
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MOHAWK DR UNIT 4
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City | LONDONDERRY
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State | NH
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Zip | 03053-3707
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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 | LMFT
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Name | KIMBERLY CAPONE
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Credential | LMFT, PLLC
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Telephone | 603-386-1442
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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 |
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License Number State |
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