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General NPI Number Information
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NPI Number | 1801440623
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Entity Type | Individual
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Provider Name | NICOLE MARIE HARTER LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1 WALPOLE ST STE 2
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City | NORWOOD
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State | MA
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Zip | 02062-3315
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Country | US
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Telephone | 617-958-6036
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Fax |
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Provider Business Mailing Address
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Address Line | 353 PARTRIDGE ST
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City | FRANKLIN
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State | MA
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Zip | 02038-1579
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Country | US
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Telephone | 774-277-1727
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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 | 000224920
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LICSW126171
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License Number State | MA
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