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General NPI Number Information
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NPI Number | 1669833497
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Entity Type | Individual
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Provider Name | JOANNE R GRASSIA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 11/06/2022
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Provider Practice Location Address
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Address Line | 83 BANCROFT RD
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2108
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Country | US
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Telephone | 607-279-7254
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | HADLEY
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State | MA
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Zip | 01035-0188
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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