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General NPI Number Information
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NPI Number | 1013329275
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Entity Type | Organization
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Legal Business Name | PAULA OBRIEN, L.M.H.C., P.C.
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 106 SPRING ST SUITE 306
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City | NEW BEDFORD
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State | MA
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Zip | 02740-5951
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Country | US
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Telephone | 508-993-1125
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Fax | 508-993-1115
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Provider Business Mailing Address
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Address Line | 106 SPRING ST SUITE 306
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City | NEW BEDFORD
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State | MA
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Zip | 02740-5951
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Country | US
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Telephone | 508-993-1125
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Fax | 508-993-1115
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Authorized Official
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Title or Position | OWNER
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Name | MS. PAULA OBRIEN
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Credential | L.M.H.C.
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Telephone | 508-993-1125
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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 | 6268
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License Number State | MA
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