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General NPI Number Information
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NPI Number | 1295847911
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Entity Type | Individual
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Provider Name | PATRICIA ELLEN COMISKEY ED.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 475 SCHOOL ST SUITE 14-16
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City | MARSHFIELD
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State | MA
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Zip | 02050-2068
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Country | US
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Telephone | 781-834-0747
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Fax | 781-834-0763
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Provider Business Mailing Address
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Address Line | 12 STATE RD UNIT 3G
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City | PLYMOUTH
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State | MA
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Zip | 02360-5100
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Country | US
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Telephone | 508-747-1988
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY6595
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License Number State | MA
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