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General NPI Number Information
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NPI Number | 1447806690
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Entity Type | Individual
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Provider Name | EDEN X ABRAMS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 940 BELMONT ST
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City | BROCKTON
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State | MA
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Zip | 02301-5596
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Country | US
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Telephone | 508-583-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EAST ST APT 9
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City | ATTLEBORO
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State | MA
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Zip | 02703-3976
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Country | US
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Telephone | 774-707-7595
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW02642
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW227134
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License Number State | MA
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