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General NPI Number Information
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NPI Number | 1821922147
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Entity Type | Organization
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Legal Business Name | TEMPLE OF THE SOVEREIGN SELF LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 37 BROCK STREET
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City | ROCHESTER
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State | NH
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Zip | 03867
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Country | US
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Telephone | 603-767-3703
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Fax |
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Provider Business Mailing Address
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Address Line | 306 N MAIN ST STE 4
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City | ROCHESTER
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State | NH
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Zip | 03867-4353
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Country | US
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Telephone | 603-767-3703
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. RACHEL ANNE SICARI
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Credential |
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Telephone | 603-767-3703
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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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