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General NPI Number Information
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NPI Number | 1306757554
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Entity Type | Individual
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Provider Name | ELISSA SOCHA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 14 CHESTNUT PL
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City | LUDLOW
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State | MA
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Zip | 01056-3476
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Country | US
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Telephone | 413-268-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 517 IDEAL LN UNIT 205
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City | LUDLOW
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State | MA
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Zip | 01056-2895
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Country | US
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Telephone | 413-454-8451
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN2329182
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License Number State | MA
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