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General NPI Number Information
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NPI Number | 1558828756
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Entity Type | Individual
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Provider Name | NATALIE BRADY M.ED., LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/23/2019
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 351 PLEASANT ST STE B265
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3900
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Country | US
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Telephone | 413-320-0877
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Fax | 617-616-0248
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Provider Business Mailing Address
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Address Line | 351 PLEASANT ST STE B265
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3900
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Country | US
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Telephone | 413-320-0866
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 122235
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License Number State | MA
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