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General NPI Number Information
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NPI Number | 1114666237
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Entity Type | Individual
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Provider Name | MICHAEL STORNANTI
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Gender | Male
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 42 LAKE AVE
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City | WORCESTER
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State | MA
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Zip | 01604-5816
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Country | US
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Telephone | 508-868-8070
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Fax | 508-519-6539
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Provider Business Mailing Address
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Address Line | 4306 JEFFERSON PL
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City | BELLINGHAM
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State | MA
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Zip | 02019-6307
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Country | US
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Telephone | 508-530-8145
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10005256
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License Number State | MA
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