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General NPI Number Information
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NPI Number | 1881756062
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Entity Type | Individual
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Provider Name | CAREY GREENE PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 92 MONTVALE AVE #2450
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City | STONEHAM
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State | MA
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Zip | 02180-3647
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Country | US
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Telephone | 781-646-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 18 DARTMOUTH ST APT 1
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City | BOSTON
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State | MA
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Zip | 02116-5902
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Country | US
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Telephone | 646-753-2019
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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