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General NPI Number Information
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NPI Number | 1336620764
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Entity Type | Individual
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Provider Name | CYNTHIA LEE ADAMS HARRISON LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 300 MAIN ST STE 5
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City | WENHAM
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State | MA
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Zip | 01984-1451
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Country | US
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Telephone | 978-468-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HORSESHOE LN
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City | SOUTH HAMILTON
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State | MA
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Zip | 01982-1910
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Country | US
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Telephone | 978-468-0076
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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 | 1022175-SW-LICSW
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License Number State | MA
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