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General NPI Number Information
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NPI Number | 1427213990
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Entity Type | Individual
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Provider Name | MING WEI NAGASAWA LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 370 WASHINGTON ST
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City | BROOKLINE
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State | MA
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Zip | 02445-6874
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Country | US
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Telephone | 617-850-2512
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Fax | 617-229-6299
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Provider Business Mailing Address
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Address Line | 91 NIGHTINGALE ST
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City | DORCHESTER CENTER
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State | MA
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Zip | 02124-1705
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Country | US
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Telephone | 617-850-2512
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Fax | 617-229-6299
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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