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General NPI Number Information
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NPI Number | 1760008635
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Entity Type | Individual
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Provider Name | KATHERINE RENDA FLOREK PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 2 COLLINS RD
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City | HINGHAM
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State | MA
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Zip | 02043-2017
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Country | US
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Telephone | 781-741-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 121 DOANE ST
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City | COHASSET
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State | MA
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Zip | 02025-1537
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Country | US
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Telephone | 774-219-9140
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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 | 9531
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License Number State | MA
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