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General NPI Number Information
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NPI Number | 1538249354
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Entity Type | Organization
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Legal Business Name | CHRISTIAN COUNSELING AND RECONCILIATION INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 955 FAIRVIEW ST
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City | LEE
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State | MA
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Zip | 01238-9305
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Country | US
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Telephone | 508-695-0517
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Fax | 508-695-0517
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Provider Business Mailing Address
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Address Line | 955 FAIRVIEW ST
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City | LEE
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State | MA
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Zip | 01238-9305
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Country | US
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Telephone | 508-695-0517
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Fax | 508-695-0517
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST PRESIDENT
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Name | DR. JAMES M SCHWARZ
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Credential | ED D
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Telephone | 508-695-0517
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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 |
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License Number State |
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