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NPI 1831688688

NPI 1831688688 : EMILY STARR LICSW : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1831688688
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY STARR LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2018
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    100 CAMBRIDGE ST 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-2509
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    Country              |    US
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    Telephone            |    617-417-5451
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 COPPERWOOD DR 
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    City                 |    STOUGHTON
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    State                |    MA
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    Zip                  |    02072-1441
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    Country              |    US
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    Telephone            |    617-417-5451
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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       |    120077
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    License Number State |    MA
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