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General NPI Number Information
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NPI Number | 1215819909
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1 DERBY ST STE 205
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City | HINGHAM
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State | MA
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Zip | 02043-3786
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Country | US
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Telephone | 781-745-9021
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Fax | 781-208-0935
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Provider Business Mailing Address
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Address Line | 1 DERBY ST STE 205
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City | HINGHAM
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State | MA
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Zip | 02043-3786
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Country | US
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Telephone | 781-745-9021
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Fax | 781-208-0935
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN MCMACKIN
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Credential | NP-C
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Telephone | 781-775-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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