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General NPI Number Information
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NPI Number | 1679436141
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Entity Type | Individual
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Provider Name | ANDREA VICTORIA FAIA MA
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 10 PERKINS RD
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City | MIDDLETON
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State | MA
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Zip | 01949-2223
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Country | US
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Telephone | 978-998-5156
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PERKINS RD
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City | MIDDLETON
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State | MA
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Zip | 01949-2223
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Country | US
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Telephone | 978-998-5156
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | FAIA-ZY8Q3V
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License Number State | MA
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