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General NPI Number Information
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NPI Number | 1942369103
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Entity Type | Individual
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Provider Name | JOY RICHMOND-SMITH LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 112 MARKET ST
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City | LYNN
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State | MA
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Zip | 01901-1125
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Country | US
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Telephone | 781-570-9453
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Fax |
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Provider Business Mailing Address
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Address Line | 8 COMMON ST #2
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City | STONEHAM
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State | MA
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Zip | 02180-2030
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Country | US
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Telephone | 781-570-9453
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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 | 113519
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License Number State | MA
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