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General NPI Number Information
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NPI Number | 1093576530
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Entity Type | Organization
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Legal Business Name | MG THERAPY LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 75 SOCKANOSSET CROSS RD STE 206
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City | CRANSTON
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State | RI
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Zip | 02920-5558
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Country | US
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Telephone | 401-240-1639
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Fax | 401-425-6715
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Provider Business Mailing Address
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Address Line | 26 ITALY ST
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City | PROVIDENCE
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State | RI
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Zip | 02908-2436
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Country | US
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Telephone | 401-573-5871
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Fax | 401-425-6715
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | MARIA R GIANFRANCESCO
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Credential | LMHC
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Telephone | 401-240-1639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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