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General NPI Number Information
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NPI Number | 1922700426
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Entity Type | Organization
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Legal Business Name | BIRCH HAVEN COUNSELING ASSOCIATES, P.L.L.C
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 472 HIGH ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-1012
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Country | US
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Telephone | 978-482-7571
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Fax | 603-772-3282
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Provider Business Mailing Address
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Address Line | 20 PORTSMOUTH AVE SUITE 1 PMB 1006
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City | STRATHAM
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State | NH
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Zip | 03885
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Country | US
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Telephone | 978-482-7571
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Fax | 603-772-3282
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Authorized Official
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Title or Position | MEMBER
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Name | DAISY RUTH CASSIDY
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Credential | LICSW
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Telephone | 978-482-7571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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