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General NPI Number Information
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NPI Number | 1457439374
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Entity Type | Individual
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Provider Name | LANCE ELIOT FIORE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9 POND LN SUITE 3A1 DAMONMILL SQUARE
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City | CONCORD
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State | MA
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Zip | 01742
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Country | US
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Telephone | 978-287-4300
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Fax | 978-369-0400
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Provider Business Mailing Address
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Address Line | 9 POND LN SUITE 3A1 DAMONMILL SQUARE
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City | CONCORD
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State | MA
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Zip | 01742
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Country | US
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Telephone | 978-287-4300
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Fax | 978-369-0400
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6496
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License Number State | MA
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