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General NPI Number Information
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NPI Number | 1093209769
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Entity Type | Organization
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Legal Business Name | SALERNO PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 80 WASHINGTON ST STE C17
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City | NORWELL
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State | MA
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Zip | 02061-1729
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Country | US
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Telephone | 617-448-8063
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Fax |
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Provider Business Mailing Address
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Address Line | 59 CROSS ST
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City | HINGHAM
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State | MA
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Zip | 02043-3145
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Country | US
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Telephone | 617-448-8063
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPSIT
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Name | NANCY A SALERNO
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Credential | LICSW
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Telephone | 617-448-8063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115658
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License Number State | MA
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