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General NPI Number Information
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NPI Number | 1497284046
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Entity Type | Individual
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Provider Name | MILAY LEMOS M.A.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 02/10/2019
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Provider Practice Location Address
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Address Line | 694 WESTERN AVE
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City | LYNN
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State | MA
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Zip | 01905-2229
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Country | US
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Telephone | 781-595-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 263 CONCORD AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02138-1336
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Country | US
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Telephone | 617-971-8412
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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