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General NPI Number Information
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NPI Number | 1669183455
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Entity Type | Individual
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Provider Name | NINA FOUSHEE
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1493 CAMBRIDGE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1047
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Country | US
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Telephone | 520-444-2493
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 N ESTRELLA AVE
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City | TUCSON
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State | AZ
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Zip | 85705-4624
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Country | US
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Telephone | 520-444-2493
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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 | 150109358
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 229642
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License Number State | MA
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