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General NPI Number Information
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NPI Number | 1104209055
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Entity Type | Individual
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Provider Name | MS. CARLA MACHADO POYANT
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 259A NORTH ST
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City | HYANNIS
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State | MA
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Zip | 02601-3823
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Country | US
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Telephone | 508-418-3928
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Fax |
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Provider Business Mailing Address
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Address Line | 10 QUEENS WAY
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City | SANDWICH
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State | MA
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Zip | 02563-2408
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Country | US
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Telephone | 603-397-7901
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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