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General NPI Number Information
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NPI Number | 1649343377
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Entity Type | Individual
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Provider Name | JANET LAWRENCE LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 75 MOUNT AUBURN STREET 4TH FLOOR
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City | CAMBRIDGE
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State | MA
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Zip | 02138
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Country | US
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Telephone | 617-496-0144
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Fax | 617-496-0144
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Provider Business Mailing Address
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Address Line | 736 CAMBRIDGE ST SECAP
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City | BRIGHTON
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State | MA
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Zip | 02135-2907
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Country | US
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Telephone | 617-562-5379
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Fax | 617-562-5384
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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 | 1020678
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License Number State | MA
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