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General NPI Number Information
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NPI Number | 1356126247
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Entity Type | Individual
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Provider Name | EMILY REBECCA GEORGE MSW/LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 144 NORTH RD STE 3450
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City | SUDBURY
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State | MA
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Zip | 01776-1183
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Country | US
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Telephone | 978-873-9106
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CAROL AVE APT 9
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City | BOSTON
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State | MA
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Zip | 02135-7546
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Country | US
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Telephone | 847-850-9016
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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 | SW139679
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License Number State | PA
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