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General NPI Number Information
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NPI Number | 1154076107
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Entity Type | Organization
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Legal Business Name | POSITIVE LIVING LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 862 ASHLEY BLVD STE 3
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City | NEW BEDFORD
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State | MA
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Zip | 02745-2417
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Country | US
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Telephone | 774-930-6054
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Fax | 508-342-7025
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Provider Business Mailing Address
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Address Line | 862 ASHLEY BLVD STE 3
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City | NEW BEDFORD
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State | MA
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Zip | 02745-2417
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Country | US
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Telephone | 774-992-7273
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Fax | 508-342-7025
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN FIGUEIREDO
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Credential | LMHC
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Telephone | 774-992-7273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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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