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General NPI Number Information
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NPI Number | 1952005043
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Entity Type | Organization
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Legal Business Name | ELIZABETH LYNNE OHARA
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 166 E CHESTNUT HILL RD
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City | MONTAGUE
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State | MA
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Zip | 01351
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Country | US
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Telephone | 717-553-2314
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Fax | 223-244-5430
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Provider Business Mailing Address
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Address Line | 166 E CHESTNUT HILL RD
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City | MONTAGUE
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State | MA
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Zip | 01351-9558
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Country | US
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Telephone | 717-553-2314
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH O'HARA
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Credential | LCSW
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Telephone | 717-553-2314
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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 |
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License Number State |
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