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General NPI Number Information
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NPI Number | 1780648436
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Entity Type | Individual
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Provider Name | SANDRA JEAN CAMBRA LICSW BCD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 32 NORFOLK AVE
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City | SOUTH EASTON
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State | MA
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Zip | 02375
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Country | US
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Telephone | 508-264-9007
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Fax | 508-238-0299
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Provider Business Mailing Address
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Address Line | 53 LAKESIDE AVE
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-1512
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Country | US
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Telephone | 508-264-9007
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Fax | 508-238-0299
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110664
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License Number State | MA
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