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General NPI Number Information
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NPI Number | 1285782425
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Entity Type | Individual
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Provider Name | LINDA EISENBERG LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23 WATER ST
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City | HOLLISTON
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State | MA
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Zip | 01746-2364
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Country | US
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Telephone | 508-429-2128
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Fax | 508-881-3733
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Provider Business Mailing Address
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Address Line | 229 CAPTAIN EAMES CIR
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City | ASHLAND
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State | MA
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Zip | 01721-1989
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Country | US
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Telephone | 508-429-2128
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Fax | 508-881-3733
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 100327
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License Number State | MA
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