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General NPI Number Information
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NPI Number | 1437446770
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Entity Type | Individual
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Provider Name | ASPEN T FERENCE MS MHC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 485 NANTASKET AVE UNIT C
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City | HULL
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State | MA
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Zip | 02045-2556
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Country | US
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Telephone | 781-925-2423
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HIGHPOINT CIR APT 308
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City | QUINCY
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State | MA
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Zip | 02169-4649
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Country | US
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Telephone | 978-551-5345
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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