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General NPI Number Information
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NPI Number | 1962602227
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Entity Type | Individual
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Provider Name | SUSAN JANE WRIGHT MS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 1 COMMONS DR # F SUITE 34
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City | LONDONDERRY
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State | NH
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Zip | 03053-3441
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Country | US
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Telephone | 603-657-4370
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Fax | 603-424-1209
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Provider Business Mailing Address
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Address Line | 29 LANCE AVE
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City | LITCHFIELD
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State | NH
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Zip | 03052-1082
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Country | US
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Telephone | 603-657-4370
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Fax | 603-424-1209
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 796
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License Number State | NH
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