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General NPI Number Information
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NPI Number | 1609598234
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Entity Type | Individual
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Provider Name | EVELYN KING LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 177 HUNTINGTON AVE FL 14
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City | BOSTON
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State | MA
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Zip | 02115-3134
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Country | US
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Telephone | 888-572-0795
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Fax | 978-496-8771
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Provider Business Mailing Address
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Address Line | 177 HUNTINGTON AVE FL 14
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City | BOSTON
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State | MA
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Zip | 02115-3134
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Country | US
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Telephone | 888-572-0795
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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 | 228289
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License Number State | MA
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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 | 1121217
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License Number State | MA
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