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General NPI Number Information
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NPI Number | 1033366802
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Entity Type | Individual
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Provider Name | PERAH S KESSMAN MA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 08/20/2011
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Provider Practice Location Address
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Address Line | 15 POWOW ST
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City | AMESBURY
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State | MA
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Zip | 01913-1613
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Country | US
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Telephone | 617-650-4779
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Fax |
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Provider Business Mailing Address
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Address Line | 83 ARSENAL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2638
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Country | US
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Telephone | 617-650-4779
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7064
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License Number State | MA
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