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General NPI Number Information
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NPI Number | 1083226518
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Entity Type | Organization
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Legal Business Name | JOYFUL ADVANTAGE, LLC
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 10 COLUMBIA ST
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-1901
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Country | US
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Telephone | 617-855-5774
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 285
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City | STOUGHTON
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State | MA
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Zip | 02072-0285
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Country | US
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Telephone | 508-287-9426
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ARIEL JOY SHAPIRO
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Credential | LMHC
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Telephone | 617-855-5774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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