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General NPI Number Information
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NPI Number | 1598963183
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Entity Type | Individual
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Provider Name | RICHARD JOHN KEIMIG CADAC
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 81 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2714
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Country | US
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Telephone | 978-354-4600
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Fax | 978-740-4849
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Provider Business Mailing Address
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Address Line | 32 POPLAR ST
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City | DANVERS
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State | MA
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Zip | 01923-2249
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Country | US
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Telephone | 978-750-9892
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Fax | 978-740-4849
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MA
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