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General NPI Number Information
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NPI Number | 1154754687
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Entity Type | Individual
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Provider Name | VANESSA O'TOOLE LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 59 SAMOSET ST STE 5
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City | PLYMOUTH
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State | MA
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Zip | 02360-4551
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Country | US
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Telephone | 781-561-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 94 NORWELL RD
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City | MARSHFIELD
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State | MA
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Zip | 02050-2536
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Country | US
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Telephone | 781-635-0581
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Fax |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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