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General NPI Number Information
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NPI Number | 1063623734
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Entity Type | Organization
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Legal Business Name | HRI CLINICS, INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 PROSPECT ST
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City | FRANKLIN
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State | MA
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Zip | 02038-3402
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Country | US
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Telephone | 508-528-6763
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PROSPECT ST
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City | FRANKLIN
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State | MA
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Zip | 02038-3402
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Country | US
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Telephone | 508-528-6763
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Fax |
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Authorized Official
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Title or Position | PSYCOTHERAPIST
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Name | DR. HERBERT SIDNEY MAXWELL
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Credential | PH.D
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Telephone | 508-528-6037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2327
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License Number State | MA
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