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General NPI Number Information
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NPI Number | 1871903138
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Entity Type | Organization
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Legal Business Name | PRISCILLA THOMPSON, PLLC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 210 RUMFORD ST SUITE 2
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City | CONCORD
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State | NH
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Zip | 03301-4584
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Country | US
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Telephone | 603-565-0592
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Fax |
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Provider Business Mailing Address
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Address Line | 98 MAIN ST
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City | BRADFORD
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State | NH
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Zip | 03221-6502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | PRISCILLA S THOMPSON
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Credential | LCMHC
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Telephone | 603-565-0592
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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 | 823
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License Number State | NH
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