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General NPI Number Information
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NPI Number | 1013423524
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Entity Type | Organization
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Legal Business Name | GREGORY STUART HANDEL PHD DBA THRIVEWORKSCOUNSELING
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 40 KENWOOD CIR
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City | FRANKLIN
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State | MA
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Zip | 02038-3298
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Country | US
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Telephone | 978-979-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 635 WASHINGTON ST
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City | FRANKLIN
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State | MA
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Zip | 02038-3365
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Country | US
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Telephone | 978-979-6555
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Fax |
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Authorized Official
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Title or Position | OFFICE CORRDINATOR
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Name | MARY A HANDEL
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Credential |
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Telephone | 978-979-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4358
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License Number State | MA
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