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General NPI Number Information
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NPI Number | 1326748146
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Entity Type | Individual
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Provider Name | LINDSEY KAY BOLAND LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 29 LONGVIEW WAY
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City | PEABODY
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State | MA
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Zip | 01960-6413
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Country | US
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Telephone | 319-215-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 331 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-7006
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Country | US
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Telephone | 978-542-0266
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 932832
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License Number State | MA
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