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General NPI Number Information
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NPI Number | 1235635186
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH SHEA LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2018
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 615 LEOMINSTER RD
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City | LUNENBURG
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State | MA
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Zip | 01462-2013
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Country | US
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Telephone | 978-582-7103
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Fax | 775-582-7103
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Provider Business Mailing Address
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Address Line | 502 PLANTATION ST
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City | WORCESTER
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State | MA
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Zip | 01605-4300
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Country | US
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Telephone | 508-963-9695
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 223674
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License Number State | MA
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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 | 223674
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License Number State | MA
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