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General NPI Number Information
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NPI Number | 1205599347
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Entity Type | Individual
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Provider Name | PAIGE KEEFE LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 151 MYSTIC AVE
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City | MEDFORD
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State | MA
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Zip | 02155-4632
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Country | US
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Telephone | 781-396-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 1188 EAST ST
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City | DEDHAM
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State | MA
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Zip | 02026-6117
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Country | US
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Telephone | 814-921-2147
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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 | LMHC10002542
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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