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General NPI Number Information
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NPI Number | 1720252083
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Entity Type | Individual
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Provider Name | TIMOTHY FRANCIS MCCARTHY LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 92 HIGH ST
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City | MEDFORD
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State | MA
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Zip | 02155-3850
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Country | US
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Telephone | 781-454-8715
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Fax |
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Provider Business Mailing Address
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Address Line | 152 FRANKLIN ST
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City | STONEHAM
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State | MA
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Zip | 02180-1521
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Country | US
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Telephone | 781-454-8715
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1961
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LMHC 1961
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License Number State | MA
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