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General NPI Number Information
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NPI Number | 1538266788
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS CARR PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 S HUNTINGTON AVE 116B
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City | BOSTON
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State | MA
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Zip | 02130-4817
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Country | US
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Telephone | 857-364-5046
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Fax | 857-364-6599
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Provider Business Mailing Address
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Address Line | 38 WARWICK ST APARTMENT #1
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City | QUINCY
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State | MA
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Zip | 02170-2215
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Country | US
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Telephone | 617-773-0717
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Fax | 857-364-6599
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4481
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License Number State | MA
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