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General NPI Number Information
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NPI Number | 1194801118
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Entity Type | Individual
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Provider Name | WINDI TAI-ALAE BOWDITCH MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 65 NEWBURYPORT TPKE
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City | NEWBURY
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State | MA
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Zip | 01951-1113
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Country | US
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Telephone | 617-962-5180
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Fax | 617-689-2969
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Provider Business Mailing Address
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Address Line | 62 MOUNT VERNON ST
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City | HAVERHILL
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State | MA
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Zip | 01830-6317
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Country | US
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Telephone | 617-962-5180
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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 | 4903
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License Number State | MA
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