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General NPI Number Information
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NPI Number | 1558494336
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN JARO MA
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 118 MAIN ST
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City | WATERTOWN
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State | MA
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Zip | 02472
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Country | US
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Telephone | 617-926-9171
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Fax | 617-926-9770
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Provider Business Mailing Address
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Address Line | 906 WILLIAMSVILLE RD
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City | BARRE
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State | MA
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Zip | 01005
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Country | US
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Telephone | 978-355-2430
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Fax | 617-926-9770
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 938
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License Number State | MA
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