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General NPI Number Information
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NPI Number | 1124273776
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Entity Type | Organization
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Legal Business Name | NORTH SOFFOLK MENTAL HEALTH ASSOCIATION
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 105 BELLINGHAM ST # 1
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City | CHELSEA
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State | MA
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Zip | 02150-3201
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Country | US
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Telephone | 617-912-7969
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Fax | 617-887-1889
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Provider Business Mailing Address
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Address Line | 105 BELLINGHAM ST # 1
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City | CHELSEA
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State | MA
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Zip | 02150-3201
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Country | US
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Telephone | 617-912-7969
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Fax | 617-887-1889
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Authorized Official
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Title or Position | CSP PROGRAM MANAGER
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Name | MISS MARY OBEIRNE
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Credential |
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Telephone | 617-912-7996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1192
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License Number State | MA
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