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General NPI Number Information
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NPI Number | 1245980689
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Entity Type | Individual
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Provider Name | MICHELLE BOLSER MA, PCC, NBC-HWC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 52 CURVE ST
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City | DEDHAM
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State | MA
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Zip | 02026-2404
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Country | US
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Telephone | 617-433-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 52 CURVE ST
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City | DEDHAM
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State | MA
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Zip | 02026-2404
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 676559785
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License Number State | MA
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