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General NPI Number Information
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NPI Number | 1881683787
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Entity Type | Individual
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Provider Name | MRS. SANDRA LYNNE FISHER
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 440 AMHERST ST
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City | NASHUA
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State | NH
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Zip | 03063-1228
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Country | US
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Telephone | 160-388-9614
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Fax | 603-598-7135
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Provider Business Mailing Address
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Address Line | 6 PINKERTON ST
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City | DERRY
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State | NH
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Zip | 03038-1502
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Country | US
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Telephone | 160-343-4987
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Fax |
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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 | 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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