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General NPI Number Information
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NPI Number | 1306989280
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Entity Type | Individual
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Provider Name | ROBERT JOSEPH LANGLAIS LICSW
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Gender | Male
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 78 PLEASANT ST
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City | HYANNIS
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State | MA
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Zip | 02601-4008
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Country | US
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Telephone | 508-778-7525
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Fax | 508-778-7529
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Provider Business Mailing Address
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Address Line | 73 SURF DR
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City | MASHPEE
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State | MA
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Zip | 02649-3732
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Country | US
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Telephone | 508-419-1372
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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 | 106483
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License Number State | MA
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