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General NPI Number Information
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NPI Number | 1003789124
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Entity Type | Individual
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Provider Name | MS. JACQUELINE ELIZABETH FARROW
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 154 MAIN ST
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City | INDIAN ORCHARD
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State | MA
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Zip | 01151-1131
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Country | US
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Telephone | 413-301-2533
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Fax | 413-304-7069
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Provider Business Mailing Address
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Address Line | 137 HOMESTEAD AVE
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City | INDIAN ORCHARD
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State | MA
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Zip | 01151-1811
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Country | US
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Telephone | 413-301-2533
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Fax | 413-304-7069
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | MA
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