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General NPI Number Information
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NPI Number | 1063325017
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Entity Type | Organization
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Legal Business Name | RESET PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 25 GREEN FARMS RD
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City | WORCESTER
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State | MA
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Zip | 01605-1001
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Country | US
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Telephone | 508-556-0106
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Fax | 800-783-9331
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Provider Business Mailing Address
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Address Line | 25 GREEN FARMS RD
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City | WORCESTER
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State | MA
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Zip | 01605-1001
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Country | US
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Telephone | 508-556-0106
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Fax | 800-783-9331
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Authorized Official
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Title or Position | CEO
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Name | SUSSIE KONDO
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Credential |
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Telephone | 508-556-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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