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General NPI Number Information
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NPI Number | 1427873256
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Entity Type | Individual
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Provider Name | DEBRA E GAULEY MSW
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 345 OLD PLYMOUTH RD
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City | SAGAMORE BEACH
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State | MA
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Zip | 02562-2304
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Country | US
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Telephone | 508-333-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 23 PALMER LN
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-2027
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Country | US
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Telephone | 781-690-6981
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW2028836
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License Number State | MA
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