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General NPI Number Information
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NPI Number | 1285909853
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Entity Type | Individual
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Provider Name | THOMAS A EATON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 714 NEPONSET ST
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City | NORWOOD
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State | MA
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Zip | 02062-5603
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Country | US
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Telephone | 781-440-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 714 NEPONSET ST
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City | NORWOOD
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State | MA
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Zip | 02062-5603
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Country | US
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Telephone | 781-440-0350
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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