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General NPI Number Information
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NPI Number | 1639388549
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Entity Type | Individual
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Provider Name | AARON CARTER
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 406 MASS AVE STE 1
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City | ARLINGTON
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State | MA
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Zip | 02474-6700
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Country | US
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Telephone | 917-544-0110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1493
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City | EAST ARLINGTON
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State | MA
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Zip | 02474-0023
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Country | US
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Telephone | 917-544-0110
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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 | 117252
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License Number State | MA
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