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General NPI Number Information
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NPI Number | 1154804961
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Entity Type | Individual
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Provider Name | ANDREA JULIE KAMINS MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2018
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1310 BEACON ST
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City | BROOKLINE
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State | MA
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Zip | 02446-3701
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Country | US
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Telephone | 617-545-4237
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Fax |
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Provider Business Mailing Address
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Address Line | 1295 BEACON ST # 1053
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City | BROOKLINE
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State | MA
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Zip | 02446-9998
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Country | US
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Telephone | 617-545-4237
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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 | 223825
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License Number State | MA
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