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General NPI Number Information
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NPI Number | 1740812619
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Entity Type | Individual
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Provider Name | ROSALEE ANN MARIE PILLING LICSW, LADC1
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Gender | Female
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 50 MAPLE ST
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02763-1047
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Country | US
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Telephone | 774-266-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MEADOWBROOK RD
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City | BROCKTON
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State | MA
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Zip | 02301-7122
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Country | US
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Telephone | 774-266-1818
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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 | 19900
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 225292
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128680
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License Number State | MA
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