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General NPI Number Information
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NPI Number | 1154378834
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Entity Type | Organization
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Legal Business Name | THE ARC OF SOUTH NORFOLK, INC.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 789 CLAPBOARDTREE ST
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City | WESTWOOD
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State | MA
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Zip | 02090-1717
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Country | US
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Telephone | 781-762-4001
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Fax | 781-461-5950
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Provider Business Mailing Address
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Address Line | 789 CLAPBOARDTREE ST
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City | WESTWOOD
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State | MA
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Zip | 02090-1717
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Country | US
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Telephone | 781-762-4001
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Fax | 781-461-5950
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MARK H MAROT
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Credential |
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Telephone | 781-762-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 4386
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License Number State | MA
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