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General NPI Number Information
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NPI Number | 1942085329
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Entity Type | Individual
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Provider Name | SELENA J HERBERT
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1750 ELM ST STE 103
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City | MANCHESTER
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State | NH
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Zip | 03104-2919
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Country | US
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Telephone | 888-224-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 8 PRIMROSE DR
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City | TILTON
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State | NH
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Zip | 03276-5775
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Country | US
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Telephone | 603-491-9535
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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 | NH
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