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General NPI Number Information
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NPI Number | 1679634380
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Entity Type | Individual
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Provider Name | LAURA ALLAN FERRER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 57 BEDFORD ST SUITE 230
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City | LEXINGTON
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State | MA
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Zip | 02420-4502
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Country | US
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Telephone | 781-648-4972
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 BEACON ST STE 324
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City | BROOKLINE
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State | MA
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Zip | 02446-3203
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Country | US
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Telephone | 781-648-4972
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7567
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License Number State | MA
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