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General NPI Number Information
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NPI Number | 1104647171
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Entity Type | Organization
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Legal Business Name | CHANELLE DOW LMHC LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 10 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-2322
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Country | US
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Telephone | 617-383-4871
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-2322
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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 | PRACTICE OWNER
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Name | MS. CHANELLE DOW
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Credential |
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Telephone | 617-383-4871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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