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NPI Code Detail

MEDICARE: JOHN DAVID POWELL I

MEDICARE:   JOHN DAVID POWELL I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1366966780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DAVID POWELL I
Provider Business Mailing Address
First Line : 61 BROWN ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6750
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 61 BROWN ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6750
Country : US
Telephone Number : 978-641-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2017
Last Update Date : 07/27/2017

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Directions to “ JOHN DAVID POWELL I ” Practice Location

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