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General NPI Number Information
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NPI Number | 1225456510
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Entity Type | Organization
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Legal Business Name | POSITIVE SYNERGY CORPORATION
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1573 FALL RIVER AVE
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City | SEEKONK
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State | MA
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Zip | 02771-3740
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Country | US
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Telephone | 508-617-8396
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Fax | 508-401-2696
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Provider Business Mailing Address
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Address Line | 1573 FALL RIVER AVE
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City | SEEKONK
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State | MA
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Zip | 02771-3740
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Country | US
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Telephone | 508-343-0630
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Fax | 508-401-2696
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MARGOT PAGE
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Credential |
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Telephone | 508-343-0630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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