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General NPI Number Information
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NPI Number | 1023821402
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Entity Type | Individual
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Provider Name | VIKTORIA ROSE WORTHEN-SLUZ
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 320 SALEM ST
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City | WILMINGTON
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State | MA
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Zip | 01887-1108
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Country | US
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Telephone | 978-694-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 119 ELM ST
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City | STONEHAM
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State | MA
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Zip | 02180-3424
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Country | US
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Telephone | 781-777-3351
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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