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General NPI Number Information
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NPI Number | 1255212676
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Entity Type | Individual
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Provider Name | JULIANNA HARRIS
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Gender |
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 23 PARKER HILL AVE
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City | BOSTON
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State | MA
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Zip | 02120-3205
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Country | US
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Telephone | 617-232-8390
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PARKER HILL AVE
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City | BOSTON
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State | MA
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Zip | 02120-3205
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Country | US
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Telephone |
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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 | 2141457
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License Number State | MA
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