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General NPI Number Information
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NPI Number | 1598972564
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SERVICES ARTP
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 543 NORTH ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-2766
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Country | US
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Telephone | 508-984-4175
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Fax | 508-984-3563
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Provider Business Mailing Address
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Address Line | 28 WEST ST
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City | MIDDLEBORO
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State | MA
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Zip | 02346-1945
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ARTP CLINICIAN
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Name | MS. SAMANTHA L NAY
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Credential | LCSW
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Telephone | 508-984-4175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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