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General NPI Number Information
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NPI Number | 1124238324
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Entity Type | Organization
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Legal Business Name | INDEPENDENCE ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 141 MAIN ST FL 1
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City | BROCKTON
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State | MA
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Zip | 02301-4012
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Country | US
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Telephone | 508-583-2166
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Fax | 508-583-2165
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Provider Business Mailing Address
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Address Line | 141 MAIN ST FL 1
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City | BROCKTON
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State | MA
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Zip | 02301-4012
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Country | US
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Telephone | 508-583-2166
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Fax | 508-583-2165
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CONSTANCE MONIQUE GALLANT
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Credential |
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Telephone | 508-583-2166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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