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General NPI Number Information
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NPI Number | 1568358505
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Entity Type | Individual
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Provider Name | JUAN SEBASTIAN GARCIA PARRIS
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Gender | Male
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 90 EVERETT AVE STE 12
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City | CHELSEA
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State | MA
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Zip | 02150-2317
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Country | US
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Telephone | 617-307-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 21 ROYAL ST APT 7
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City | ALLSTON
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State | MA
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Zip | 02134-1586
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Country | US
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Telephone | 413-884-3295
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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 |
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License Number State |
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