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General NPI Number Information
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NPI Number | 1417435140
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Entity Type | Individual
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Provider Name | KATIE AGUAYO ZWEIFEL LICSW, PMH-C
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 483 BOSTON POST RD STE 2
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City | WESTON
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State | MA
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Zip | 02493-1561
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Country | US
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Telephone | 617-855-9289
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Fax |
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Provider Business Mailing Address
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Address Line | 483 BOSTON POST RD STE 2
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City | WESTON
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State | MA
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Zip | 02493-1561
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Country | US
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Telephone | 617-855-9289
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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 | 089.0134650
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC22437
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3759
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 123132
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License Number State | MA
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