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NPI 1265678809

NPI 1265678809 : ALBERT B. CURTIS PH.D. : BEVERLY, MA

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General NPI Number Information
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    NPI Number           |    1265678809
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    Entity Type          |    Individual 
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    Provider Name        |    ALBERT B. CURTIS PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/04/2009
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    Last Update Date     |    01/04/2009
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Provider Practice Location Address
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    Address Line         |    149 MCKAY ST 
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    City                 |    BEVERLY
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    State                |    MA
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    Zip                  |    01915-2568
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    Country              |    US
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    Telephone            |    978-407-6715
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    Fax                  |    978-993-4680
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Provider Business Mailing Address
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    Address Line         |    149 MCKAY ST 
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    City                 |    BEVERLY
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    State                |    MA
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    Zip                  |    01915-2568
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    Country              |    US
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    Telephone            |    978-407-6715
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    Fax                  |    978-993-4680
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    3129
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    License Number State |    MA
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