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General NPI Number Information
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NPI Number | 1831205608
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Entity Type | Organization
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Legal Business Name | NORTH SHORE PSYCHIATRIC ASSOCIATES INC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 100 HIGHLAND AVE SUITE 204
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City | SALEM
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State | MA
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Zip | 01970-2702
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Country | US
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Telephone | 978-744-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HIGHLAND AVE SUITE 204
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City | SALEM
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State | MA
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Zip | 01970-2702
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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 | PRESIDENT
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Name | HOWARD ABRAMS
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Credential | M.D.
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Telephone | 978-744-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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