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General NPI Number Information
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NPI Number | 1063507168
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Entity Type | Organization
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Legal Business Name | PASTORAL COUNSELING CENTERS OF MASSACHUSETTS, INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 18 LYMAN ST STE 250
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1472
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Country | US
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Telephone | 508-366-4000
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Fax | 508-870-9991
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Provider Business Mailing Address
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Address Line | 18 LYMAN ST STE 250
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1472
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Country | US
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Telephone | 508-366-4000
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Fax | 508-870-9991
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARY TABER
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Credential |
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Telephone | 508-366-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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