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General NPI Number Information
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NPI Number | 1023639077
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Entity Type | Individual
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Provider Name | MALEENA MIYA JUMPP MA MFT
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Gender | Female
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 190 LENOX ST
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City | NORWOOD
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State | MA
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Zip | 02062-3416
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Country | US
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Telephone | 781-269-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 190 LENOX ST
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City | NORWOOD
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State | MA
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Zip | 02062-3416
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Country | US
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Telephone | 508-335-1986
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23969
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License Number State | MA
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