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General NPI Number Information
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NPI Number | 1336063502
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Entity Type | Organization
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Legal Business Name | YOUR EVERLASTING SOLUTION INC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 460 GRANBY RD
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2145
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Country | US
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Telephone | 413-733-2499
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Fax | 413-255-0443
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Provider Business Mailing Address
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Address Line | 460 GRANBY RD
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2145
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Country | US
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Telephone | 413-733-2499
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Fax | 413-255-0443
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Authorized Official
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Title or Position | ELECTROLOGIST MICRO SURGERY
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Name | CHERIE RENEE BRISEBOIS-TETRAULT
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Credential | RE LE CLT LLT
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Telephone | 413-733-2499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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