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General NPI Number Information
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NPI Number | 1689617680
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Entity Type | Individual
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Provider Name | HARVEY PINSKY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 09/24/2016
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Provider Practice Location Address
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Address Line | 40 MECHANIC ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-4425
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Country | US
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Telephone | 508-366-0551
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Fax | 978-779-2204
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Provider Business Mailing Address
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Address Line | 359 BERLIN RD
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City | BOLTON
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State | MA
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Zip | 01740-1320
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Country | US
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Telephone | 508-366-0551
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Fax | 978-779-2204
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY1719PR
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY1719PR
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 515
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License Number State | MA
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