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General NPI Number Information
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NPI Number | 1861534554
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Entity Type | Individual
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Provider Name | ARLENE GRIFFIN TEICH MSW LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 70 QUINCY AVE COMMUNITY REHAB CARE
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-786-8811
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Fax | 617-786-8877
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Provider Business Mailing Address
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Address Line | 3 VOSE LANE
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City | E WALPOLE
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State | MA
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Zip | 02032
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Country | US
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Telephone | 508-668-7832
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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 | 113478
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License Number State | MA
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