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General NPI Number Information
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NPI Number | 1073946273
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Entity Type | Organization
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Legal Business Name | COMMUNITY EMPOWERMENT SERVICES
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 3267 ACUSHNET AVE
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City | NEW BEDFORD
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State | MA
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Zip | 02745-3918
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Country | US
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Telephone | 508-735-6621
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Fax | 508-995-5659
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Provider Business Mailing Address
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Address Line | 3267 ACUSHNET AVE
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City | NEW BEDFORD
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State | MA
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Zip | 02745-3918
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Country | US
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Telephone | 508-735-6621
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Fax | 508-995-5659
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | MRS. JAMIE LEE CRIMMINS
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Credential | MSW, LICSW
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Telephone | 508-735-6621
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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 | 117714
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License Number State | MA
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