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General NPI Number Information
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NPI Number | 1841593993
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Entity Type | Individual
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Provider Name | JUSTIN JAMES DRAKOS LICSW
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Gender | Male
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 310 BARNSTABLE RD
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City | HYANNIS
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State | MA
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Zip | 02601-2902
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Country | US
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Telephone | 617-847-1950
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Fax | 617-774-1490
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Provider Business Mailing Address
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Address Line | 300 FALMOUTH RD APT 13B
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City | MASHPEE
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State | MA
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Zip | 02649-2694
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Country | US
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Telephone | 781-249-2079
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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 | LICSW124025
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License Number State | MA
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