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General NPI Number Information
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NPI Number | 1730520602
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Entity Type | Individual
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Provider Name | NATHANIEL CODY THORN PSY.D
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Gender | Male
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 401 MAIN ST STE 114
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City | AMHERST
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State | MA
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Zip | 01002-2353
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Country | US
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Telephone | 413-329-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 119 HOPE ST
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City | GREENFIELD
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State | MA
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Zip | 01301-3516
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Country | US
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Telephone | 413-824-0476
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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 | 9840
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9840
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License Number State | MA
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