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General NPI Number Information
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NPI Number | 1225309578
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Entity Type | Individual
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Provider Name | DAFNAH TSOFIA MERON
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Gender | Female
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 150 LOWER WESTFIELD RD STE 1
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City | HOLYOKE
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State | MA
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Zip | 01040-2676
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Country | US
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Telephone | 201-738-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 104 MATHEWS RD
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City | CONWAY
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State | MA
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Zip | 01341-9793
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Country | US
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Telephone | 201-738-0261
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09924262
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW124207
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License Number State | MA
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