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General NPI Number Information
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NPI Number | 1891726832
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Entity Type | Individual
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Provider Name | CHERYL COVIELLO LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BEDFORD VAMC 122 200 SPRINGS RD.
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City | BEDFORD
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State | MA
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Zip | 01730
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Country | US
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Telephone | 781-687-2706
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Fax | 781-687-3179
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Provider Business Mailing Address
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Address Line | 61 SYLVESTER ST
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City | LAWRENCE
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State | MA
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Zip | 01843-3619
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Country | US
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Telephone | 617-512-2601
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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 | 113509
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License Number State | MA
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