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General NPI Number Information
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NPI Number | 1063879237
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Entity Type | Organization
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Legal Business Name | FRAMINGHAM CENTER FOR HEALING LLC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 50 LEXINGTON ST # 2
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8219
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Country | US
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Telephone | 508-561-4966
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Fax | 508-872-1132
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Provider Business Mailing Address
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Address Line | 50 LEXINGTON ST # 2
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8219
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Country | US
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Telephone | 508-561-4966
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Fax | 508-872-1132
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Authorized Official
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Title or Position | LICSW
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Name | ANITA RILEY
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Credential | LICSW
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Telephone | 508-561-4966
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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 | 113071
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License Number State | MA
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