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General NPI Number Information
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NPI Number | 1518214147
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Entity Type | Organization
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Legal Business Name | MARJORIE G. WELSH, LLC.
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 20 TREMONT ST SUITE 31
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City | DUXBURY
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State | MA
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Zip | 02332-5310
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Country | US
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Telephone | 508-989-6859
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Fax |
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Provider Business Mailing Address
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Address Line | 20 TREMONT ST SUITE 31
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City | DUXBURY
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State | MA
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Zip | 02332-5310
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Country | US
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Telephone | 508-989-6859
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | MARJORIE G WELSH
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Credential | PSY.D.
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Telephone | 508-989-6859
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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 | 9121
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License Number State | MA
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