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General NPI Number Information
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NPI Number | 1255561460
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Entity Type | Individual
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Provider Name | ANGELA M DRZEWICKI BAA
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Gender | Female
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 112 MARKET ST
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City | LYNN
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State | MA
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Zip | 01968
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Country | US
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Telephone | 978-880-8672
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Fax |
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Provider Business Mailing Address
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Address Line | 63 FEDERAL ST
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City | SALEM
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State | MA
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Zip | 01970
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Country | US
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Telephone | 978-880-8672
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Fax | 617-774-1490
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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