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General NPI Number Information
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NPI Number | 1083687784
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Entity Type | Individual
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Provider Name | OONA VAIL METZ LICSW, CGP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2006
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 1318 BEACON ST STE 9
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City | BROOKLINE
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State | MA
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Zip | 02446-3793
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Country | US
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Telephone | 617-232-8971
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Fax |
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Provider Business Mailing Address
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Address Line | 43 GARRISON RD
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City | BROOKLINE
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State | MA
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Zip | 02445-4445
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Country | US
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Telephone | 617-277-8107
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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 | 10245105
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License Number State | MA
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