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General NPI Number Information
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NPI Number | 1124240734
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Entity Type | Organization
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Legal Business Name | DR. RACHEL LASCHEVER MOVITZ, PSY.D.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 198 GROTON ROAD SUITE 2
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City | AYER
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State | MA
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Zip | 01432
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Country | US
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Telephone | 781-640-0900
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Fax | 978-486-9516
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Provider Business Mailing Address
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Address Line | P.O. BOX 628
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City | WESTFORD
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State | MA
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Zip | 01886
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Country | US
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Telephone | 781-640-0900
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Fax | 978-486-9516
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. RACHEL LASCHEVER MOVITZ
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Credential | PSY.D.
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Telephone | 781-640-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 8263
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License Number State | MA
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