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General NPI Number Information
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NPI Number | 1801144688
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Entity Type | Individual
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Provider Name | SHARON ANN CARPENTER MSW/LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 435 KING ST
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City | LITTLETON
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State | MA
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Zip | 01460-1275
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Country | US
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Telephone | 978-692-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 73 HORIZON ISLAND RD
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City | LUNENBURG
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State | MA
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Zip | 01462-1104
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Country | US
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Telephone | 978-582-5515
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110275
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License Number State | MA
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