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General NPI Number Information
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NPI Number | 1649672965
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Entity Type | Organization
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Legal Business Name | LAUREN PALMACCIO, LMHC
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 7 PECK ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-2257
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Country | US
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Telephone | 617-866-0589
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Fax | 508-557-0234
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Provider Business Mailing Address
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Address Line | 65 BLACKSMITH RD
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City | SEEKONK
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State | MA
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Zip | 02771-1934
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Country | US
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Telephone | 617-866-0589
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Fax | 508-557-0234
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN PALMACCIO
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Credential | LMHC
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Telephone | 617-866-0589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7209
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License Number State | MA
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