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General NPI Number Information
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NPI Number | 1306911623
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Entity Type | Individual
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Provider Name | BARBARA MILAZZO COVENEY LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CHARIS LIGHTHOUSE COUNSELING 61 BOYDEN ROAD
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City | HOLDEN
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State | MA
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Zip | 01520
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Country | US
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Telephone | 508-890-0330
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Fax | 774-642-0017
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Provider Business Mailing Address
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Address Line | 7 GATES ROAD
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City | PRINCETON
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State | MA
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Zip | 01541
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Country | US
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Telephone | 978-464-5638
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 105229
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License Number State | MA
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