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General NPI Number Information
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NPI Number | 1215185137
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Entity Type | Organization
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Legal Business Name | SOUTH BAY MENTAL HEALTH,FALL RIVER,MA
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 2 BELVEDERE DRIVE
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City | BRISTOL
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State | RI
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Zip | 02809-4902
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Country | US
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Telephone | 401-253-3779
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Fax | 401-253-3779
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Provider Business Mailing Address
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Address Line | 2 BELVEDERE DR
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City | BRISTOL
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State | RI
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Zip | 02809-4902
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Country | US
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Telephone | 401-253-3779
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Fax | 401-253-3779
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Authorized Official
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Title or Position | THERAPIST
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Name | DR. ARADHANA MEHTA
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Credential | PH.D
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Telephone | 508-324-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MA
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