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General NPI Number Information
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NPI Number | 1346365012
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Entity Type | Individual
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Provider Name | GEORGE CHARLES MARINAKIS PHD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 36 WOBURN ST THE ACADEMY NORTH
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City | READING
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State | MA
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Zip | 01867
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Country | US
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Telephone | 781-942-9277
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Fax | 781-944-6535
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Provider Business Mailing Address
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Address Line | 417 SUMMER AVE
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City | READING
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State | MA
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Zip | 01867
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Country | US
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Telephone | 781-944-3451
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Fax | 781-944-9310
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4880
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 4880
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 4880
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License Number State | MA
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