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General NPI Number Information
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NPI Number | 1285708776
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Entity Type | Organization
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Legal Business Name | NORTH SUFFOLK MENTAL HEALTH ASSOCIATION
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 14 PORTER ST
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City | EAST BOSTON
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State | MA
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Zip | 02128-2116
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Country | US
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Telephone | 617-912-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 BROADWAY
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City | CHELSEA
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State | MA
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Zip | 02150-2807
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Country | US
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Telephone | 617-889-4860
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Fax |
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | MS. MARTHA J CURTIS
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Credential | R.N., LICSW
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Telephone | 617-912-7519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 113521
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License Number State | MA
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