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General NPI Number Information
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NPI Number | 1245193812
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Entity Type | Individual
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Provider Name | HELEN MARIKA HAIDEMENOS LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 99 LORING DR
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City | FRAMINGHAM
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State | MA
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Zip | 01702-8785
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Country | US
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Telephone | 508-532-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 138 SAMUEL AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-1624
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LMHC12297
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License Number State | MA
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