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General NPI Number Information
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NPI Number | 1326694316
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Entity Type | Individual
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Provider Name | MARILYN FRANCES DOWNS PHD, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 89 MASSACHUSETTS AVE
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City | ARLINGTON
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State | MA
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Zip | 02474-8633
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Country | US
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Telephone | 339-209-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 39 ORVIS RD
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City | ARLINGTON
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State | MA
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Zip | 02474-8545
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Country | US
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Telephone | 718-640-1649
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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 | 1017047
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License Number State | MA
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