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NPI 1578790523

NPI 1578790523 : SCUNE CARRINGTON LICSW : BELMONT, MA

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General NPI Number Information
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    NPI Number           |    1578790523
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    Entity Type          |    Individual 
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    Provider Name        |    SCUNE CARRINGTON LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2009
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    Last Update Date     |    04/13/2024
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Provider Practice Location Address
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    Address Line         |    113 BELMONT ST 
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    City                 |    BELMONT
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    State                |    MA
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    Zip                  |    02478-3603
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    Country              |    US
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    Telephone            |    781-350-8553
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    Fax                  |    617-812-1692
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Provider Business Mailing Address
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    Address Line         |    51 PLEASANT ST # 82 
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    City                 |    MALDEN
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    State                |    MA
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    Zip                  |    02148-4904
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    Country              |    US
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    Telephone            |    781-350-8553
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    Fax                  |    617-812-1692
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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       |    123140
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    License Number State |    MA
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