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NPI 1295804870

NPI 1295804870 : ANDREAS NEUMANN-MASCIS PHD : JAMAICA PLAIN, MA

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General NPI Number Information
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    NPI Number           |    1295804870
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREAS NEUMANN-MASCIS PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/07/2006
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    3464 WASHINGTON ST 
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    City                 |    JAMAICA PLAIN
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    State                |    MA
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    Zip                  |    02130-2665
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    Country              |    US
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    Telephone            |    508-308-3242
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    Fax                  |    617-553-1945
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Provider Business Mailing Address
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    Address Line         |    70 WYVERN ST 
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    City                 |    ROSLINDALE
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    State                |    MA
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    Zip                  |    02131-2134
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    Country              |    US
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    Telephone            |    508-308-3242
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    Fax                  |    617-553-1945
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    8095
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    License Number State |    MA
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