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General NPI Number Information
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NPI Number | 1841928454
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Entity Type | Organization
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Legal Business Name | SCA PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 2 W PARK ST STE 2
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City | LEBANON
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State | NH
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Zip | 03766-1395
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Country | US
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Telephone | 603-252-0961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62
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City | LEBANON
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State | NH
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Zip | 03766-0062
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Country | US
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Telephone | 603-252-0961
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. STEVEN CAREY ATKINS
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Credential | PSYD
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Telephone | 603-252-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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