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General NPI Number Information
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NPI Number | 1043235534
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Entity Type | Organization
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Legal Business Name | CORPORATE EAP RESOURCES, INC.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 184 GREAT RD SUITE 3
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City | ACTON
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State | MA
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Zip | 01720-5758
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Country | US
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Telephone | 866-635-1712
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Fax | 978-635-1712
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Provider Business Mailing Address
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Address Line | 47 LIBERTY ST
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City | ACTON
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State | MA
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Zip | 01720-3547
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Country | US
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Telephone | 866-635-1712
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Fax | 978-635-1712
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH JUSTIN LALIBERTE
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Credential | MSW, LICSW,CEAP
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Telephone | 866-635-1712
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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 | 100058
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License Number State | MA
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