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General NPI Number Information
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NPI Number | 1104592211
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Entity Type | Individual
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Provider Name | DR. DANIELLA MARIE FUREY
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Gender | Female
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 200 SPRINGS RD
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City | BEDFORD
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State | MA
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Zip | 01730-1114
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Country | US
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Telephone | 781-687-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 26 FULLER RD APT 4
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City | FOXBORO
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State | MA
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Zip | 02035-4010
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Country | US
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Telephone | 301-675-9418
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS02296
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License Number State | RI
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