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General NPI Number Information
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NPI Number | 1760541981
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Entity Type | Individual
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Provider Name | MARILYN ALTIERI SCIMONE LMHC,RN,LRC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 20 JOYCE RD
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City | WAYLAND
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State | MA
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Zip | 01778-4516
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Country | US
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Telephone | 508-655-4122
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Fax | 508-651-2773
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Provider Business Mailing Address
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Address Line | 20 JOYCE RD
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City | WAYLAND
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State | MA
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Zip | 01778-4516
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Country | US
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Telephone | 508-655-4122
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Fax | 508-651-2773
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 888
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 77674
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 433
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License Number State | MA
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