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General NPI Number Information
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NPI Number | 1184378655
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Entity Type | Individual
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Provider Name | MS. KATHERINE CANAS
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Gender | Female
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1881 WORCESTER RD
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City | FRAMINGHAM
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State | MA
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Zip | 01701-5410
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Country | US
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Telephone | 508-628-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 214 SHERIDAN AVE
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-2423
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Country | US
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Telephone | 908-737-2287
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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