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General NPI Number Information
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NPI Number | 1285599951
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Entity Type | Organization
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Legal Business Name | HOMETOWN BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 243 MAIN ST STE 1
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3285
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Country | US
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Telephone | 508-456-9892
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Fax | 508-213-3697
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Provider Business Mailing Address
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Address Line | 243 MAIN ST STE 1
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3285
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Country | US
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Telephone | 508-456-9892
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Fax | 508-213-3697
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Authorized Official
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Title or Position | PROVIDER/OWNER/EMPLOYEE
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Name | JOLEEN CONNOLLY
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Credential | NP
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Telephone | 508-517-1169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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