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General NPI Number Information
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NPI Number | 1225453293
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Entity Type | Individual
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Provider Name | MARIA ELENA KATERINA DRUAN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 132 ROBBS HILL RD
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City | LUNENBURG
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State | MA
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Zip | 01462-2167
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Country | US
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Telephone | 774-270-1766
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Fax | 508-861-0206
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Provider Business Mailing Address
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Address Line | 33 FAIRVIEW AVE
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City | PEMBROKE
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State | MA
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Zip | 02359-2917
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Country | US
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Telephone | 617-816-4757
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Fax | 781-754-0131
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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