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General NPI Number Information
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NPI Number | 1417758772
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Entity Type | Organization
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Legal Business Name | NEW PATHWAYS NEUROPSYCHOLOGY
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 725 CONCORD AVE STE 2100
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1052
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Country | US
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Telephone | 781-999-0640
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Fax |
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Provider Business Mailing Address
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Address Line | 725 CONCORD AVE STE 2100
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1052
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Country | US
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Telephone | 781-999-0640
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. LAURA K PHILLIPS
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Credential | PHD
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Telephone | 781-999-0640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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