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General NPI Number Information
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NPI Number | 1679456263
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Entity Type | Organization
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Legal Business Name | BIRD COUNSELING LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 777 WOOD ST
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City | SOMERSET
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State | MA
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Zip | 02726-3323
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Country | US
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Telephone | 508-689-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 777 WOOD ST
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City | SOMERSET
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State | MA
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Zip | 02726-3323
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Country | US
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Telephone | 508-356-4045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY LARKIN BIRD
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Credential |
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Telephone | 508-356-4045
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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 |
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License Number State |
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