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General NPI Number Information
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NPI Number | 1104554740
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC WORKS INCORPORATED
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 187 SAINT PAUL ST STE 101
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City | BURLINGTON
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State | VT
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Zip | 05401-4689
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Country | US
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Telephone | 802-922-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 187 SAINT PAUL ST STE 101
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City | BURLINGTON
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State | VT
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Zip | 05401-4689
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Country | US
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Telephone | 802-922-7614
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CRYSTAL BARRY
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Credential | MA
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Telephone | 802-922-7614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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