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General NPI Number Information
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NPI Number | 1295230399
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Entity Type | Organization
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Legal Business Name | METIME, LLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 6 HADLEY ST STE 2A
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1012
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Country | US
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Telephone | 413-427-9893
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Fax |
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Provider Business Mailing Address
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Address Line | 127 ACREBROOK DR
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City | CHICOPEE
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State | MA
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Zip | 01020-2103
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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 | OWNER
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Name | MONICA ROSSKOTHEN
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Credential | LMHC
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Telephone | 413-427-9893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0000010534
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License Number State | MA
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