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General NPI Number Information
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NPI Number | 1407150147
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Entity Type | Individual
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Provider Name | JULIE MARGRET GUILLEMIN LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 175 DERBY ST STE. 16
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City | HINGHAM
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State | MA
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Zip | 02043-4007
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Country | US
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Telephone | 781-740-1546
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Fax | 781-740-0212
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Provider Business Mailing Address
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Address Line | 175 DERBY ST. STE. 16
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City | HINGHAM
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State | MA
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Zip | 02043-4047
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Country | US
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Telephone | 781-740-1546
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Fax | 781-740-0212
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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 | 113618
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License Number State | MA
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