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General NPI Number Information
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NPI Number | 1861593725
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Entity Type | Individual
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Provider Name | HARRIET ALISON OTIS MA
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 438 KING ST
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City | LITTLETON
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State | MA
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Zip | 01460-1269
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Country | US
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Telephone | 978-952-6060
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Fax | 978-486-8104
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Provider Business Mailing Address
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Address Line | PO BOX 284 6 SHADY HILL AVE
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City | NUTTING LAKE
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State | MA
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Zip | 01865-0284
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Country | US
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Telephone | 978-663-9235
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Fax | 978-663-9235
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3000
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License Number State | MA
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