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General NPI Number Information
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NPI Number | 1568452480
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Entity Type | Individual
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Provider Name | JOSEPH ROBERT WINN MSW
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 226 MASSACHUSETTS AVE SUITE NUMBER 3
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City | ARLINGTON
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State | MA
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Zip | 02474-8435
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Country | US
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Telephone | 617-461-8479
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Fax | 978-897-4713
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Provider Business Mailing Address
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Address Line | 15 WALTHAM ST
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City | MAYNARD
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State | MA
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Zip | 01754-2411
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Country | US
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Telephone | 978-897-4242
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Fax | 978-897-4713
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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 | 1028690
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License Number State | MA
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