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General NPI Number Information
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NPI Number | 1952600827
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Entity Type | Organization
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Legal Business Name | CENTER FOR LIFE SOLUTIONS, INC.
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 114 WALTHAM ST SUITE 21
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City | LEXINGTON
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State | MA
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Zip | 02421-5415
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Country | US
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Telephone | 781-862-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WALTHAM ST STE 25
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City | LEXINGTON
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State | MA
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Zip | 02421-5409
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Country | US
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Telephone | 781-862-0890
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. ALIKI PISHEV
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Credential | LICSW
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Telephone | 781-862-0890
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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 | 1019780
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License Number State | MA
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