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NPI Code Detail

MEDICARE: DANA CARUSO MA

MEDICARE: DANA CARUSO MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366278947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA CARUSO MA
Provider Business Mailing Address
First Line : 26 MILLER ST APT 3
Second Line :
City : WARREN
State : RI
Zip : 02885-3149
Country : US
Telephone Number : 310-730-9731
Fax Number :
Provider Business Practice Location Address
First Line : 1052 PLEASANT ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-1602
Country : US
Telephone Number : 774-322-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2024
Last Update Date : 09/23/2024

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Directions to “ DANA CARUSO MA” Practice Location

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