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General NPI Number Information
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NPI Number | 1780360958
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Entity Type | Individual
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Provider Name | KAYLA CROWE
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 21 BELMONT AVE
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-585-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 140 LOVEFIELD ST
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City | EASTHAMPTON
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State | MA
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Zip | 01027-1148
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Country | US
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Telephone | 413-362-9515
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1725297
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License Number State | MA
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