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General NPI Number Information
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NPI Number | 1073263687
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Entity Type | Organization
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Legal Business Name | MC2 - HEALTHCARE
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Dates
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Enumeration Date | 03/26/2022
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 187 S CANAAN RD
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City | CANAAN
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State | CT
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Zip | 06018-2544
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Country | US
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Telephone | 860-362-5232
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Fax | 877-861-6507
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | ASHLEY FALLS
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State | MA
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Zip | 01222-0129
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Country | US
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Telephone | 860-362-5232
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Fax | 877-861-6507
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Authorized Official
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Title or Position | VP, REVENUE CYCLE
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Name | MRS. MICHELLE WILLIAMSON
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Credential |
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Telephone | 860-362-5232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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