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General NPI Number Information
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NPI Number | 1477736536
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Entity Type | Individual
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Provider Name | SHARIN RISA HORVITZ-CHUNG LMHC, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 555 AMORY ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-2652
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Country | US
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Telephone | 617-383-6522
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Fax | 617-383-6520
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Provider Business Mailing Address
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Address Line | 555 AMORY ST
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City | JAMAICA PLAIN
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State | MA
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Zip | 02130-2652
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Country | US
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Telephone | 617-383-6522
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Fax | 617-383-6520
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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 | 5432
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State | MA
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