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General NPI Number Information
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NPI Number | 1043195845
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Entity Type | Organization
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Legal Business Name | FRESH LEMONADE THERAPY LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 16 CATON RD
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City | FOXBORO
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State | MA
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Zip | 02035-1756
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Country | US
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Telephone | 774-300-9816
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CAMBRIDGE ST FL 14
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City | BOSTON
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State | MA
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Zip | 02114-2509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. GRACE MAIER
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Credential | LICSW
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Telephone | 774-300-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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