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General NPI Number Information
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NPI Number | 1538433404
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Entity Type | Individual
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Provider Name | CATHERINE JOYCE CONRADE LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 259 MASSACHUSETTS AVE
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City | ARLINGTON
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State | MA
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Zip | 02474-8406
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Country | US
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Telephone | 781-608-8468
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Fax |
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Provider Business Mailing Address
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Address Line | 72 EVERETT ST APT. 1
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City | ARLINGTON
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State | MA
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Zip | 02474-6904
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Country | US
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Telephone | 781-316-8000
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Fax | 781-932-9745
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH 1942-CC
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License Number State | MA
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