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General NPI Number Information
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NPI Number | 1477591428
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Entity Type | Individual
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Provider Name | PAUL GRON ED.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 336 BAKER AVE SUITE 1-3
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City | CONCORD
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State | MA
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Zip | 01742-2100
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Country | US
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Telephone | 978-287-0101
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Fax | 617-795-0239
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Provider Business Mailing Address
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Address Line | 158 COLLINS RD
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City | NEWTON
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State | MA
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Zip | 02468-2234
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Country | US
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Telephone | 978-287-0101
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Fax | 617-795-0239
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3496
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License Number State | MA
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