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General NPI Number Information
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NPI Number | 1114624483
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Entity Type | Individual
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Provider Name | SASHA STATMAN-WEIL
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Gender | Male
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 160 MAIN ST STE 23
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3135
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Country | US
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Telephone | 413-248-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 50 FORT HILL TER
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4008
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Country | US
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Telephone | 413-824-2416
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 127451
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License Number State | MA
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