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General NPI Number Information
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NPI Number | 1295542090
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Entity Type | Organization
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Legal Business Name | STONEHAVEN PSYCH CARE
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 61 MAIN ST
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City | STONEHAM
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State | MA
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Zip | 02180-3346
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Country | US
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Telephone | 781-438-2927
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Fax | 339-999-0741
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Provider Business Mailing Address
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Address Line | 61 MAIN ST
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City | STONEHAM
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State | MA
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Zip | 02180-3346
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Country | US
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Telephone | 781-438-2927
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK FIGUEROA
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Credential | PMHNP-NP
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Telephone | 617-602-0551
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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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