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General NPI Number Information
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NPI Number | 1285446997
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Entity Type | Organization
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Legal Business Name | NATHAN LAPRADE, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 20 GILMAN ST
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City | HOLYOKE
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State | MA
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Zip | 01040-2910
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Country | US
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Telephone | 617-678-4069
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10086
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City | HOLYOKE
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State | MA
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Zip | 01041-1686
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Country | US
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Telephone | 617-678-4069
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Fax |
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Authorized Official
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Title or Position | LMHC
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Name | MR. NATHAN MARK LAPRADE
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Credential | LMHC
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Telephone | 617-315-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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