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NPI 1215854294

NPI 1215854294 : COMMONWEALTH CENTER FOR BEHAVIORAL MEDICINE : SHERBORN, MA

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General NPI Number Information
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    NPI Number           |    1215854294
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMONWEALTH CENTER FOR BEHAVIORAL MEDICINE 
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Dates
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    Enumeration Date     |    07/01/2026
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    Last Update Date     |    07/01/2026
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Provider Practice Location Address
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    Address Line         |    5 LINDEN LN 
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    City                 |    SHERBORN
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    State                |    MA
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    Zip                  |    01770-1326
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    Country              |    US
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    Telephone            |    617-299-9224
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3 
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    City                 |    SHERBORN
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    State                |    MA
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    Zip                  |    01770-0003
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |    DR. CHRISTOPHER  RUTT 
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    Credential           |    PHD
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    Telephone            |    617-299-9224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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