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General NPI Number Information
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NPI Number | 1063997963
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Entity Type | Individual
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Provider Name | HOLLY BRABSON-HALSEY LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 36 LINCOLN ST
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City | MANCHESTER
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State | MA
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Zip | 01944-1123
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Country | US
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Telephone | 978-526-7641
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Fax |
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Provider Business Mailing Address
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Address Line | 3 BISHOPS LN
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City | LYNNFIELD
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State | MA
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Zip | 01940-1324
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Country | US
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Telephone | 617-515-3408
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110663
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License Number State | MA
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