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General NPI Number Information
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NPI Number | 1962826594
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Entity Type | Individual
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Provider Name | VICTORIA ADAMCZYK
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 130 CONDOR ST
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City | EAST BOSTON
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State | MA
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Zip | 02128-1305
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Country | US
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Telephone | 617-912-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 112 WINTHROP RD APT 6
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City | BROOKLINE
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State | MA
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Zip | 02445-4563
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Country | US
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Telephone |
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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