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General NPI Number Information
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NPI Number | 1366651010
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Entity Type | Individual
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Provider Name | ANDREA ROSE PRIGARO LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 206 MILL RD
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City | FAIRHAVEN
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State | MA
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Zip | 02719
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Country | US
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Telephone | 508-973-3000
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Fax | 508-739-3057
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Provider Business Mailing Address
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Address Line | 206 MILL RD
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5208
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Country | US
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Telephone | 508-973-3000
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Fax | 508-973-3057
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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 | 115525
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License Number State | MA
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