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General NPI Number Information
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NPI Number | 1407337942
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Entity Type | Individual
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Provider Name | PAULA SACKS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 200 BOYLSTON ST STE 305
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-2008
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Country | US
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Telephone | 617-527-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SKY VIEW CIR
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City | NEWTON
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State | MA
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Zip | 02459-3158
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Country | US
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Telephone | 617-970-5405
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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 | 115440
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License Number State | MA
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