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General NPI Number Information
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NPI Number | 1700425774
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Entity Type | Individual
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Provider Name | CHRISTINE KAVESKI
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Gender | Female
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 35 CONGRESS ST BUILDING 2 SUITE 351A
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City | SALEM
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State | MA
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Zip | 01970
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Country | US
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Telephone | 978-524-7133
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ALRICK RD APT 4
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City | QUINCY
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State | MA
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Zip | 02169-1447
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Country | US
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Telephone | 215-817-5672
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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