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General NPI Number Information
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NPI Number | 1538330584
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 479 WEST ST
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City | CARLISLE
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State | MA
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Zip | 01741-1439
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Country | US
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Telephone | 978-287-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 479 WEST ST
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City | CARLISLE
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State | MA
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Zip | 01741-1439
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Country | US
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Telephone | 978-287-5557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN CHIRBAN
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Credential |
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Telephone | 978-287-5557
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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 | 2873
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License Number State | MA
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