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General NPI Number Information
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NPI Number | 1619024569
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Entity Type | Individual
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Provider Name | VINITA B. RUSSELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 VICTORY RD
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City | QUINCY
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State | MA
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Zip | 02171-3139
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Country | US
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Telephone | 617-774-1040
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Fax | 617-847-0915
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Provider Business Mailing Address
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Address Line | 238 THACHER ST
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City | MILTON
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State | MA
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Zip | 02186-3220
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Country | US
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Telephone | 617-696-9913
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Fax | 617-847-0915
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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 | 212350
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License Number State | MA
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