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General NPI Number Information
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NPI Number | 1568499945
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Entity Type | Individual
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Provider Name | JOELLEN QUIGLEY FERM L.I.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 586 MAIN ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-2920
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Country | US
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Telephone | 508-842-3100
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Fax | 508-842-0700
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Provider Business Mailing Address
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Address Line | 32 ALLEN HILL RD
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City | PRINCETON
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State | MA
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Zip | 01541-1807
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Country | US
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Telephone | 978-464-0131
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1022130
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License Number State | MA
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