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General NPI Number Information
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NPI Number | 1356827851
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Entity Type | Individual
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Provider Name | HOLLY H CRISTOFARO LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 120 LONGWATER DR
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City | NORWELL
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State | MA
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Zip | 02061-1653
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Country | US
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Telephone | 518-573-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 82 FOREST ST
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City | DUXBURY
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State | MA
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Zip | 02332-2948
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Country | US
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Telephone | 518-573-4521
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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 | 119039
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License Number State | MA
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