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General NPI Number Information
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NPI Number | 1346135506
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Entity Type | Individual
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Provider Name | EMILY MCCLURE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 100 REVERE BEACH PKWY
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City | CHELSEA
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State | MA
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Zip | 02150-1543
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Country | US
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Telephone | 617-370-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PERTHSHIRE RD APT 2
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City | BOSTON
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State | MA
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Zip | 02135-1724
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Country | US
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Telephone | 781-424-8925
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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 | LCSW229077
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License Number State | MA
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