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General NPI Number Information
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NPI Number | 1295217081
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Entity Type | Individual
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Provider Name | MICHAELA MARIE FERRO
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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 | 1266 FURNACE BROOK PKWY STE 100B
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City | QUINCY
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State | MA
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Zip | 02169-4789
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Country | US
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Telephone | 617-433-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 190 W 7TH ST APT 1
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City | BOSTON
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State | MA
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Zip | 02127-2829
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Country | US
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Telephone | 508-633-5463
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MA
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