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General NPI Number Information
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NPI Number | 1043097181
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Entity Type | Individual
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Provider Name | NEYDIE ANTOINE
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 300 E MAIN ST STE 104
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City | MILFORD
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State | MA
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Zip | 01757-2806
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Country | US
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Telephone | 508-478-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 52 MAIN ST APT 1A
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City | STONEHAM
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State | MA
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Zip | 02180-3358
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Country | US
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Telephone | 754-551-4698
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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