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General NPI Number Information
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NPI Number | 1336870864
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Entity Type | Organization
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Legal Business Name | FIRST-CLASS BEHAVIORAL & COUNSELING SERVICES
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 1017 TURNPIKE ST UNITS 31A, 32A ,33
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City | CANTON
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State | MA
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Zip | 02021
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Country | US
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Telephone | 781-236-7343
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Fax | 781-806-1026
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Provider Business Mailing Address
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Address Line | 1017 TURNPIKE ST UNITS 32A & 33
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City | CANTON
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State | MA
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Zip | 02021
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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 | YVEDA BRUTUS
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Credential | PMHNP
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Telephone | 857-719-6538
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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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