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General NPI Number Information
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NPI Number | 1396253688
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Entity Type | Individual
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Provider Name | PAMELA FINEMAN MALTZ MSW
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Gender | Female
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Dates
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Enumeration Date | 01/20/2018
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Last Update Date | 01/20/2018
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Provider Practice Location Address
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Address Line | 33 N COMMON ST
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City | LYNN
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State | MA
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Zip | 01902-4311
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Country | US
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Telephone | 781-593-1680
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Fax |
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Provider Business Mailing Address
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Address Line | 978 WORCESTER ST # 309
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City | WELLESLEY
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State | MA
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Zip | 02482-3709
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Country | US
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Telephone | 617-899-2035
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 100462
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License Number State | MA
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