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General NPI Number Information
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NPI Number | 1093462400
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Entity Type | Individual
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Provider Name | EILEEN STRAN-JOY
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Gender | Female
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Dates
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Enumeration Date | 03/05/2022
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 940 BELMONT ST
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City | BROCKTON
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State | MA
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Zip | 02301-5596
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Country | US
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Telephone | 508-583-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 PINE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4085
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS02344
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License Number State | RI
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