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General NPI Number Information
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NPI Number | 1386823839
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Entity Type | Individual
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Provider Name | NANCY J LEARY LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 106 STATE ROAD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-2923
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Country | US
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Telephone | 508-642-2389
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Fax | 508-342-5669
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Provider Business Mailing Address
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Address Line | 106 STATE ROAD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-2923
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Country | US
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Telephone | 508-642-2389
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Fax | 508-342-5669
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 211941
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 400530
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115073
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License Number State | MA
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