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General NPI Number Information
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NPI Number | 1922212059
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Entity Type | Organization
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Legal Business Name | SERVICENET, INC.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 63 FRENCH KING HWY
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City | GREENFIELD
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State | MA
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Zip | 01301-1337
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Country | US
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Telephone | 413-772-6298
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | SULLIVAN
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State | NH
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Zip | 03445-0111
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Country | US
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Telephone | 603-209-7788
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUSAN KARAS
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Credential |
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Telephone | 413-584-6855
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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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