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General NPI Number Information
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NPI Number | 1720560212
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Entity Type | Individual
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Provider Name | NATALIE RIOS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 150 S HUNTINGTON AVE
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City | BOSTON
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State | MA
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Zip | 02130-4817
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Country | US
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Telephone | 617-435-5765
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Fax |
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Provider Business Mailing Address
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Address Line | 150 S HUNTINGTON AVE
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City | BOSTON
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State | MA
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Zip | 02130-4817
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 223816-SW-LCSW
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 123815
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License Number State | MA
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