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General NPI Number Information
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NPI Number | 1790593978
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Entity Type | Individual
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Provider Name | ELIZABETH MARGARET ESTEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR STE 534G
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City | BEVERLY
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State | MA
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Zip | 01915-6239
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Country | US
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Telephone | 978-548-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 142P CANAL ST
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City | SALEM
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State | MA
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Zip | 01970-4650
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCSW2120342
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License Number State | MA
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