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NPI Code Detail

MEDICARE: CHARLES JAMES SOUZA

MEDICARE:   CHARLES JAMES SOUZA
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
1101Y00000XCounselorMA

General Provider Information

NPI Number : 1568723971
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES JAMES SOUZA
Provider Business Mailing Address
First Line : 1846 S MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02724-2138
Country : US
Telephone Number : 774-888-7155
Fax Number :
Provider Business Practice Location Address
First Line : 1846 S MAIN ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02724-2138
Country : US
Telephone Number : 774-888-7155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2012
Last Update Date : 06/01/2012

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Directions to “ CHARLES JAMES SOUZA ” Practice Location

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