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General NPI Number Information
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NPI Number | 1811120777
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND COUNSELING CENTER PC
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 792 S MAIN ST
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City | MANSFIELD
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State | MA
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Zip | 02048-3137
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Country | US
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Telephone | 508-285-8550
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Fax | 508-285-8556
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Provider Business Mailing Address
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Address Line | 87 E MAIN ST
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City | NORTON
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State | MA
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Zip | 02766-2307
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Country | US
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Telephone | 508-285-8550
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Fax | 508-285-8556
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Authorized Official
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Title or Position | PARTNER/ CO-OWNER
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Name | DR. AAFAQUE AKHTER
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Credential | M.D
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Telephone | 508-285-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 215637
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License Number State | MA
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