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General NPI Number Information
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NPI Number | 1376667097
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Entity Type | Organization
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Legal Business Name | PARE ELOVITZ AND ASSOCIATES
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 572 MAIN STREET PARE AND ASSOCIATES
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City | WEST YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-775-0719
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Fax | 508-775-5309
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Provider Business Mailing Address
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Address Line | PO BOX 940 572 MAIN STREET PARE AND ASSOCIATES
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City | WEST YARMOUTH
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State | MA
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Zip | 02673
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Country | US
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Telephone | 508-775-0719
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Fax | 508-775-5309
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Authorized Official
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Title or Position | OWNER PARE AND ASSOCIATES
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Name | MR. JOSEPH A PARE
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Credential | LICSW SOCIAL WORKER
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Telephone | 508-775-0719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 101803
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License Number State | MA
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