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General NPI Number Information
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NPI Number | 1316012131
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Entity Type | Individual
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Provider Name | CATHERINE PARE 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 | 08/19/2008
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Provider Practice Location Address
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Address Line | 947 ROUTE 6A CRANBERRY COURT SUITE 2A
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City | YARMOUTH PORT
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State | MA
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Zip | 02675-2171
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Country | US
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Telephone | 508-362-3668
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Fax | 508-362-3668
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Provider Business Mailing Address
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Address Line | PO BOX 664
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City | EAST DENNIS
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State | MA
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Zip | 02641-0664
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Country | US
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Telephone | 508-362-3668
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Fax | 508-362-3668
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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 | LICSW 101802
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License Number State | MA
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