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General NPI Number Information
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NPI Number | 1902109838
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Entity Type | Organization
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Legal Business Name | CYNTHIA W. TASKA, LLC
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 27 BANK STREET SUITE 2
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City | LEBANON
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State | NH
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Zip | 03766-1791
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Country | US
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Telephone | 603-443-5137
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Fax |
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Provider Business Mailing Address
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Address Line | 65 GREAT BROOK RD
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City | LEBANON
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State | NH
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Zip | 03766-2326
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Country | US
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Telephone | 603-443-5137
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MS. CYNTHIA TASKA
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Credential | MSW
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Telephone | 603-443-5137
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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 | 089.0062831
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License Number State | VT
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