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General NPI Number Information
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NPI Number | 1386413334
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Entity Type | Individual
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Provider Name | RYNN THEO HELLION LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1501 WASHINGTON ST
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City | BRAINTREE
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State | MA
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Zip | 02184-7599
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Country | US
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Telephone | 617-847-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 79 DONALD ST APT 34
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City | WEYMOUTH
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State | MA
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Zip | 02188-3942
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Country | US
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Telephone | 857-867-2647
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW228781
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License Number State | MA
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