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General NPI Number Information
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NPI Number | 1275015018
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Entity Type | Individual
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Provider Name | KAREN LEE MSW LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 200 HILLSIDE CIR STE 3
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4681
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Country | US
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Telephone | 413-827-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 160 CAPTAIN RD
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City | LONGMEADOW
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State | MA
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Zip | 01106-2546
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Country | US
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Telephone | 413-530-7277
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1032480-SW-LICSW
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License Number State | MA
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