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General NPI Number Information
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NPI Number | 1447267067
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Entity Type | Individual
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Provider Name | BRIAN PICKELL PSY.D
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 42 WRIGHT ST
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City | PALMER
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State | MA
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Zip | 01069-1156
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Country | US
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Telephone | 413-370-5285
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Fax | 413-370-5384
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Provider Business Mailing Address
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Address Line | 280 CHESTNUT ST FL 2
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City | SPRINGFIELD
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State | MA
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Zip | 01199-1001
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Country | US
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Telephone | 413-794-9999
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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 | 6191
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6191
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License Number State | MA
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