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General NPI Number Information
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NPI Number | 1528293529
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Entity Type | Individual
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Provider Name | LUZ NEIDA CRUZ MA,CAGS COUN/PSY
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 1960 WASHINGTON ST. PYRAMID BUILDERS ASSOCIATES INC.
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City | ROXBURY
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State | MA
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Zip | 02118
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Country | US
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Telephone | 617-516-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 75 WYVERN ST
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City | ROSLINDALE
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State | MA
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Zip | 02131-2137
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Country | US
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Telephone | 617-909-7066
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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