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General NPI Number Information
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NPI Number | 1396931374
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Entity Type | Individual
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Provider Name | ADRIENNE NAZZARO C.A.G.S.
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 42 BROOKVIEW RD
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City | BOXFORD
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State | MA
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Zip | 01921-2216
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Country | US
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Telephone | 978-502-4499
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Fax |
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Provider Business Mailing Address
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Address Line | 42 BROOKVIEW RD
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City | BOXFORD
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State | MA
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Zip | 01921-2216
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Country | US
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Telephone | 978-502-4499
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 332160
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 966
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License Number State | MA
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