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General NPI Number Information
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NPI Number | 1952433815
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Entity Type | Individual
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Provider Name | GAYLE L KIRK MSW
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 282 BARNSTABLE RD
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City | HYANNIS
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State | MA
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Zip | 02601-2919
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Country | US
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Telephone | 617-598-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 80 HENRY DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-1582
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Country | US
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Telephone | 781-535-7887
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7473
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License Number State | MA
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