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General NPI Number Information
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NPI Number | 1699059956
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Entity Type | Individual
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Provider Name | CARROLL SUZANNE MCGRATH RNPC, PMHCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 234 RUSSELL ST SUITE 203
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City | HADLEY
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State | MA
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Zip | 01035-3534
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Country | US
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Telephone | 413-367-6337
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Fax | 413-320-4797
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Provider Business Mailing Address
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Address Line | 234 RUSSELL ST SUITE 203
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City | HADLEY
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State | MA
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Zip | 01035-3534
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Country | US
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Telephone | 413-367-6337
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Fax | 413-320-4797
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN265957
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License Number State | MA
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