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General NPI Number Information
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NPI Number | 1134924434
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Entity Type | Organization
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Legal Business Name | MARISSA J BIEDERMAN LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 500 GROSSMAN DR STE 1077
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City | BRAINTREE
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State | MA
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Zip | 02184-4967
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Country | US
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Telephone | 508-299-7075
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Fax |
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Provider Business Mailing Address
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Address Line | 22 BATES RD STE 292
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City | MASHPEE
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State | MA
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Zip | 02649-3280
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Country | US
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Telephone | 617-922-3777
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MARISSA J BIEDERMAN
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Credential | LICSW
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Telephone | 617-922-3777
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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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