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General NPI Number Information
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NPI Number | 1174237598
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Entity Type | Organization
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Legal Business Name | VITALITY PSYCHIATRIC PLLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 293 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1781
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Country | US
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Telephone | 781-307-2962
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Fax | 772-679-0244
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Provider Business Mailing Address
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Address Line | 293 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1781
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Country | US
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Telephone | 781-307-2962
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Fax | 772-679-0244
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Authorized Official
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Title or Position | BILLING
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Name | MR. JOSEPH CARROLL
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Credential |
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Telephone | 781-307-2962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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