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NPI 1326700188

NPI 1326700188 : NEWTON PLAY THERAPY LLC : NEWTON UPPER FALLS, MA

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General NPI Number Information
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    NPI Number           |    1326700188
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEWTON PLAY THERAPY LLC 
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Dates
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    Enumeration Date     |    10/08/2021
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    Last Update Date     |    11/17/2021
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Provider Practice Location Address
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    Address Line         |    44 MECHANIC ST STE 206 
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    City                 |    NEWTON UPPER FALLS
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    State                |    MA
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    Zip                  |    02464-1472
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    Country              |    US
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    Telephone            |    617-564-0346
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    44 MECHANIC ST STE 206 
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    City                 |    NEWTON UPPER FALLS
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    State                |    MA
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    Zip                  |    02464-1472
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    Country              |    US
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    Telephone            |    617-564-0346
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHELSEA  WELCH 
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    Credential           |    
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    Telephone            |    617-564-0346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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