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General NPI Number Information
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NPI Number | 1871719971
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Entity Type | Individual
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Provider Name | FAITH CATLIN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 W PARK ST SUITE 312
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City | LEBANON
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State | NH
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Zip | 03766-1378
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Country | US
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Telephone | 603-448-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MARKET ST. P.O. BOX 183
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City | LYME
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State | NH
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Zip | 03768
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Country | US
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Telephone | 603-795-4103
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Fax | 603-795-4193
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 554
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License Number State | NH
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