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General NPI Number Information
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NPI Number | 1427192467
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Entity Type | Individual
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Provider Name | ALAN R CAMPAGNA PSY.D. MSW
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 733 CHAPIN ST SUIT 200D
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City | LUDLOW
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State | MA
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Zip | 01056-1900
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Country | US
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Telephone | 413-313-3591
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Fax | 413-610-0060
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Provider Business Mailing Address
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Address Line | 93 NEW CREST ST
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City | LUDLOW
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State | MA
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Zip | 01056-3138
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Country | US
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Telephone | 413-313-3591
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Fax | 413-610-0060
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2029523
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License Number State | MA
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