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General NPI Number Information
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NPI Number | 1811448434
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Entity Type | Organization
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Legal Business Name | PASSAGES BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 3 PINE STREET EXT UNIT B
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City | NASHUA
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State | NH
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Zip | 03060-3275
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Country | US
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Telephone | 603-577-0665
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Fax | 603-204-5251
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Provider Business Mailing Address
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Address Line | 3 PINE STREET EXT UNIT B
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City | NASHUA
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State | NH
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Zip | 03060-3275
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Country | US
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Telephone | 603-577-0665
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Fax | 603-204-5251
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LUCAS LUND
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Credential | D.O.
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Telephone | 603-577-0665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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