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General NPI Number Information
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NPI Number | 1881690840
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Entity Type | Individual
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Provider Name | DEBORAH ELIZABETH SHOPE LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 1 COURT ST STE 220
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City | LEBANON
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State | NH
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Zip | 03766-1358
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Country | US
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Telephone | 603-727-2562
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COURT ST STE 220
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City | LEBANON
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State | NH
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Zip | 03766-1358
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Country | US
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Telephone | 603-727-2562
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089-0000860
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1283
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License Number State | NH
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