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General NPI Number Information
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NPI Number | 1629770193
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CENTER FOR FAMILY CONNECTION
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 30 TYLER PRENTICE RD
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City | WORCESTER
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State | MA
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Zip | 01605-1909
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Country | US
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Telephone | 508-241-1558
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Fax |
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Provider Business Mailing Address
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Address Line | 30 TYLER PRENTICE RD
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City | WORCESTER
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State | MA
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Zip | 01605-1909
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Country | US
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Telephone | 508-241-1558
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Fax |
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Authorized Official
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Title or Position | INSURANC/CREDENTIALING SPECIALIST
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Name | MS. DEBBIE BURWICK
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Credential |
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Telephone | 774-666-0092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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