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General NPI Number Information
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NPI Number | 1952617128
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Entity Type | Organization
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Legal Business Name | BEDFORD FAMILY THERAPY, LLC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 10 COMMERCE PARK N UNIT 1A
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City | BEDFORD
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State | NH
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Zip | 03110-6905
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Country | US
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Telephone | 603-606-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 10 COMMERCE PARK N UNIT 1A
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City | BEDFORD
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State | NH
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Zip | 03110-6905
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Country | US
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Telephone | 603-606-1233
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Fax |
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Authorized Official
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Title or Position | OWNER, THERAPIST
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Name | ALLISON DOYLE
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Credential | M.S., LMFT
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Telephone | 603-218-6073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 70
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 126
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 98
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1496
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 71
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License Number State | NH
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