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General NPI Number Information
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NPI Number | 1780805333
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Entity Type | Individual
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Provider Name | KATHERINE BOYLE LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 36 WOBURN ST #6
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City | READING
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State | MA
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Zip | 01867
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Country | US
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Telephone | 781-438-8393
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Fax | 978-233-4925
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Provider Business Mailing Address
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Address Line | PO BOX 67
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City | BELMONT
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State | MA
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Zip | 02478
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Country | US
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Telephone | 781-438-8393
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Fax | 978-233-4925
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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 |
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License Number State |
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