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General NPI Number Information
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NPI Number | 1275271199
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Entity Type | Organization
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Legal Business Name | ASCEND BEHAVIORAL CENTER
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 1135 CHARLES ST
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3538
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Country | US
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Telephone | 401-400-7745
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Fax | 401-757-3229
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Provider Business Mailing Address
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Address Line | 1135 CHARLES ST
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3538
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Country | US
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Telephone | 401-400-7745
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Fax | 401-757-3229
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MARIAFE AINELLE MERCADO
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Credential | PSYD
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Telephone | 401-400-7745
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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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