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General NPI Number Information
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NPI Number | 1699398982
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Entity Type | Individual
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Provider Name | STACEY FIORE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 61 HARRINGTON RIDGE RD
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City | SHERBORN
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State | MA
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Zip | 01770-1121
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Country | US
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Telephone | 617-678-3159
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Fax |
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Provider Business Mailing Address
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Address Line | 396 WASHINGTON ST # 244
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City | WELLESLEY
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State | MA
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Zip | 02481-6209
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Country | US
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Telephone | 617-512-7070
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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 | 8282
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License Number State | MA
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