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General NPI Number Information
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NPI Number | 1194038653
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Entity Type | Individual
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Provider Name | JAMES S NOVICK M.ED., LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 106 SPRING ST SUITE 209
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City | NEW BEDFORD
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State | MA
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Zip | 02740
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Country | US
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Telephone | 774-328-6901
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Fax | 508-991-3105
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Provider Business Mailing Address
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Address Line | 106 SPRING STREET SUITE 209
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City | NEW BEDFORD
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State | MA
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Zip | 02740
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Country | US
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Telephone | 774-328-6901
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Fax | 508-991-3105
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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 | 3978
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License Number State | MA
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