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General NPI Number Information
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NPI Number | 1013294479
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Entity Type | Organization
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Legal Business Name | TONN CAO AND ASSOCIATES
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Dates
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Enumeration Date | 11/12/2011
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Last Update Date | 11/12/2011
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Provider Practice Location Address
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Address Line | 1359 HANCOCK ST SUITE 1
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City | QUINCY
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State | MA
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Zip | 02169-5108
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Country | US
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Telephone | 617-697-9392
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Fax |
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Provider Business Mailing Address
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Address Line | 14 FAYETTE ST
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City | BOSTON
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State | MA
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Zip | 02116-5549
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Country | US
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Telephone | 617-697-9392
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIOLOGIST
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Name | DR. TONN QOUC CAO
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Credential | PH.D.
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Telephone | 617-697-9392
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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 | 115873
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License Number State | MA
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