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General NPI Number Information
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NPI Number | 1154063881
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Entity Type | Organization
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Legal Business Name | INSIGHTFUL RESOLUTIONS, LLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 21 HEATON AVE
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City | NORWOOD
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State | MA
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Zip | 02062-4406
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Country | US
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Telephone | 781-680-5679
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Fax |
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Provider Business Mailing Address
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Address Line | 991 PROVIDENCE HWY # 1092
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City | NORWOOD
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State | MA
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Zip | 02062-5001
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Country | US
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Telephone | 781-680-5679
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | LATOYA JENNINGS
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Credential | LMFT
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Telephone | 781-540-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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