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General NPI Number Information
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NPI Number | 1164943650
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Entity Type | Individual
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Provider Name | MEGAN ARLENE RUSSIS
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 8 ATWOOD DR STE 201
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City | NORTHAMPTON
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State | MA
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Zip | 01060-4266
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Country | US
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Telephone | 413-582-0471
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Fax | 413-585-0965
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | THORNDIKE
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State | MA
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Zip | 01079-0281
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Country | US
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Telephone | 413-485-8430
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Fax | 413-585-9765
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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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