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General NPI Number Information
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NPI Number | 1003318882
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Entity Type | Individual
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Provider Name | ALLISON MARY REESE
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1500 BOSTON PROVIDENCE TPKE STE 38
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City | NORWOOD
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State | MA
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Zip | 02062-4631
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Country | US
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Telephone | 781-747-8497
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Fax |
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Provider Business Mailing Address
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Address Line | 41 KITTREDGE RD
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City | FRAMINGHAM
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State | MA
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Zip | 01702-5972
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Country | US
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Telephone | 978-727-4930
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10002677
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License Number State | MA
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