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General NPI Number Information
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NPI Number | 1255016630
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Entity Type | Organization
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Legal Business Name | LOTUS PSYCHIATRY & WELLNESS LLC
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 150 GROSSMAN DR STE 205
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City | BRAINTREE
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State | MA
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Zip | 02184-4947
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Country | US
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Telephone | 781-285-5767
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Fax | 781-207-9658
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Provider Business Mailing Address
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Address Line | 150 GROSSMAN DR STE 205
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City | BRAINTREE
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State | MA
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Zip | 02184-4947
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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 | PSYCH/MENTAL NURSE PRACTITIONER
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Name | SHEILA MARCELLUS
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Credential | DNP
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Telephone | 781-285-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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