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General NPI Number Information
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NPI Number | 1023421443
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Entity Type | Individual
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Provider Name | PAULA SHAGIN LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 224 OAK ST
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City | FRANKLIN
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State | MA
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Zip | 02038
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Country | US
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Telephone | 508-507-8474
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770
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City | FAIRLAWN
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State | NJ
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Zip | 07410
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Country | US
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Telephone | 201-681-8461
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120217
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2038
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05713600
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License Number State | NJ
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