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NPI 1760559892

NPI 1760559892 : CENTER FOR NEW BEGINNINGS : LITTLETON, NH

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General NPI Number Information
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    NPI Number           |    1760559892
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTER FOR NEW BEGINNINGS 
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Dates
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    Enumeration Date     |    11/30/2006
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    Last Update Date     |    04/14/2021
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Provider Practice Location Address
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    Address Line         |    229 COTTAGE ST 
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    City                 |    LITTLETON
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    State                |    NH
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    Zip                  |    03561-4100
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    Country              |    US
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    Telephone            |    603-444-6465
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    Fax                  |    603-444-6233
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Provider Business Mailing Address
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    Address Line         |    229 COTTAGE ST 
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    City                 |    LITTLETON
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    State                |    NH
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    Zip                  |    03561-4100
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    Country              |    US
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    Telephone            |    603-444-6465
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    Fax                  |    603-444-6233
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Authorized Official
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    Title or Position    |    BUSINESS MANAGER
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    Name                 |     SUSAN  BOUCHARD 
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    Credential           |    
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    Telephone            |    603-444-6465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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