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General NPI Number Information
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NPI Number | 1578936399
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Entity Type | Individual
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Provider Name | EMILY ANN DEVLIN LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 62 SULLIVAN ST APT 2
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City | BOSTON
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State | MA
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Zip | 02129-2489
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Country | US
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Telephone | 603-459-9403
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Fax |
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Provider Business Mailing Address
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Address Line | 62 SULLIVAN ST APT 2
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City | BOSTON
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State | MA
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Zip | 02129-2489
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Country | US
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Telephone | 603-459-9403
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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 | 89.0136321
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21391
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 119539
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 121792
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License Number State | MA
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