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General NPI Number Information
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NPI Number | 1184411399
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Entity Type | Individual
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Provider Name | JOCELYN BEDNARK
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 31A WORKSHOP RD
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-1210
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Country | US
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Telephone | 508-398-5155
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Fax | 508-398-3478
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Provider Business Mailing Address
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Address Line | 42 RADCLIFF RD
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City | MASHPEE
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State | MA
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Zip | 02649-2261
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Country | US
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Telephone | 508-648-5174
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2050
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License Number State | MA
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