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General NPI Number Information
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NPI Number | 1043645070
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Entity Type | Individual
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Provider Name | LISA ANN AZZOLI M.F.A.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 789 CLAPBOARDTREE ST
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City | WESTWOOD
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State | MA
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Zip | 02090-1717
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Country | US
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Telephone | 781-461-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 12 WESTFIELD RD
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City | NEWTON
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State | MA
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Zip | 02465-2563
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Country | US
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Telephone | 617-795-0484
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S36940243
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License Number State | MA
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