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General NPI Number Information
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NPI Number | 1033361845
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF HUMAN SOLUTIONS LLC
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 370 N KING ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1121
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Country | US
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Telephone | 413-387-0075
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Fax | 888-289-5206
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Provider Business Mailing Address
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Address Line | 370 N KING ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-1121
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Country | US
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Telephone | 413-320-4118
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Fax | 888-289-5206
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ANDRES MUNOZ-BUSTAMANTE
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Credential | PH.D
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Telephone | 413-320-4118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8148
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8152
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111347
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD2004-0539
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 236837
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 204120
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License Number State | MA
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