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General NPI Number Information
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NPI Number | 1538759329
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Entity Type | Organization
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Legal Business Name | STEPHANIE DAVIDOFF, M.D., PH.D., LLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 23 WATER ST
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City | HOLLISTON
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State | MA
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Zip | 01746-2364
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Country | US
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Telephone | 508-561-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 76 WHITNEY ST
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City | SHERBORN
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State | MA
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Zip | 01770-1006
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Country | US
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Telephone | 508-561-9495
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Fax | 508-653-8398
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | DR. STEPHANIE A. DAVIDOFF
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Credential | M.D., PH.D.
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Telephone | 508-561-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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