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General NPI Number Information
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NPI Number | 1801155684
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Entity Type | Individual
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Provider Name | SHARON CARROZZO GILGUN R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 148 WARREN STREET SOUTH BAY EARLY CHILDHOOD
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City | LOWELL
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State | MA
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Zip | 01852
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Country | US
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Telephone | 978-452-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SQUIRE ROAD
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City | WINCHESTER
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State | MA
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Zip | 01890
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Country | US
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Telephone | 781-729-3232
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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 | RN2273903
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License Number State | MA
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