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General NPI Number Information
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NPI Number | 1649133547
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Entity Type | Individual
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Provider Name | TODD JAMES GARVIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 10 FORBES RD STE 190
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City | BRAINTREE
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State | MA
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Zip | 02184-2622
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Country | US
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Telephone | 781-300-7503
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Fax |
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Provider Business Mailing Address
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Address Line | 11 RICHARDSON ST APT 1
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City | MALDEN
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State | MA
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Zip | 02148-5245
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Country | US
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Telephone | 781-300-7503
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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 | 222282
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License Number State | MA
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