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General NPI Number Information
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NPI Number | 1124427174
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Entity Type | Individual
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Provider Name | EMMA GARRITY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 581 SABATTUS ST
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City | LEWISTON
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State | ME
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Zip | 04240-4120
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Country | US
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Telephone | 207-871-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 901 WASHINGTON AVE STE 100
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City | PORTLAND
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State | ME
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Zip | 04103-2842
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Country | US
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Telephone | 207-871-1200
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Fax | 207-871-1232
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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 | LC16766
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License Number State | ME
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