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General NPI Number Information
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NPI Number | 1184858631
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Entity Type | Individual
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Provider Name | PATRICIA CARRIE GANTES
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Gender | Female
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 227 BRIDGE ST UNIT 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2404
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Country | US
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Telephone | 413-695-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 227 BRIDGE ST. UNIT 3
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-695-9930
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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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