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General NPI Number Information
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NPI Number | 1396818506
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Entity Type | Organization
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Legal Business Name | THE SHARON ST GROUP INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 466 COMMONWEALTH AVE STE 201
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City | BOSTON
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State | MA
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Zip | 02215-2721
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Country | US
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Telephone | 781-856-4601
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Fax |
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Provider Business Mailing Address
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Address Line | 600 TREMONT ST UNIT 2
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City | BOSTON
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State | MA
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Zip | 02118-1605
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Country | US
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Telephone | 781-856-4601
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Fax | 617-248-0070
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ESTEE SHARON
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Credential | PSY.D.
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Telephone | 781-856-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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