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General NPI Number Information
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NPI Number | 1992231716
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Entity Type | Individual
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Provider Name | CAROL RAINS
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 275 SANDWICH ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-2183
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Country | US
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Telephone | 774-454-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 40 PINEHILLS DR APT 1329
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City | PLYMOUTH
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State | MA
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Zip | 02360-7827
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 000222707
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License Number State | MA
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