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General NPI Number Information
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NPI Number | 1992418198
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Entity Type | Organization
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Legal Business Name | AZURE COUNSELING LLC
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 273 MAIN ST STE 5-2
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City | YARMOUTH
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State | ME
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Zip | 04096-6753
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Country | US
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Telephone | 207-415-3649
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Fax | 844-839-4800
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Provider Business Mailing Address
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Address Line | 273 MAIN ST STE 2
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City | YARMOUTH
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State | ME
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Zip | 04096-6753
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Country | US
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Telephone | 207-415-3649
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Fax | 844-839-4800
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. DANIELLE CAREY-SILVERI
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Credential |
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Telephone | 844-839-5735
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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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