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General NPI Number Information
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NPI Number | 1609391473
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Entity Type | Individual
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Provider Name | COLIN DOUGLAS SCHAFER PSYD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 89 ACCESS RD STE 24
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City | NORWOOD
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State | MA
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Zip | 02062-5233
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Country | US
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Telephone | 781-551-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 CROWN COLONY DR
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City | QUINCY
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State | MA
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Zip | 02169-0902
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Country | US
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Telephone | 781-551-0999
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10971
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License Number State | MA
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