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General NPI Number Information
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NPI Number | 1336621424
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Entity Type | Individual
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Provider Name | MISS REBECCA DANIELLE FLAHERTY
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 124B OLD WASHINGTON ST
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City | PEMBROKE
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State | MA
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Zip | 02359-2709
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Country | US
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Telephone | 508-789-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 36 CORDAGE PARK CIR
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City | PLYMOUTH
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State | MA
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Zip | 02360-7331
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Country | US
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Telephone | 857-939-5064
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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 |
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License Number State |
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