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General NPI Number Information
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NPI Number | 1629291901
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Entity Type | Organization
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Legal Business Name | CENTER FOR NEUROINTEGRATIVE SEVICES INC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 42 WASHINGTON ST SUITE 100
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City | WELLESLEY
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State | MA
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Zip | 02481-1803
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Country | US
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Telephone | 781-416-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 29 REGINA DR
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City | CHELMSFORD
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State | MA
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Zip | 01824-4540
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Country | US
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Telephone | 978-256-3093
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE CLINICAL DIRECTOR
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Name | DR. MARGARET A MCPHEE
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Credential | PH.D
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Telephone | 978-256-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6903
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License Number State | MA
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