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General NPI Number Information
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NPI Number | 1073705927
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Entity Type | Individual
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Provider Name | CHRISTOPHER RICHARD MAROBELLA MSW
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 532 GREAT RD
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City | ACTON
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State | MA
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Zip | 01720-3415
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Country | US
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Telephone | 978-263-0439
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Fax | 978-263-5706
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Provider Business Mailing Address
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Address Line | 15 GLEZEN LN
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City | WAYLAND
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State | MA
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Zip | 01778-1601
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Country | US
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Telephone | 508-494-3017
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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 |
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License Number State |
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