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General NPI Number Information
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NPI Number | 1396569299
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Entity Type | Organization
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Legal Business Name | FERN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 203 BRITTON AVE APT T2
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City | STOUGHTON
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State | MA
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Zip | 02072-2564
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Country | US
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Telephone | 617-682-0749
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Fax |
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Provider Business Mailing Address
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Address Line | 315 UNIVERSITY AVENUE 2ND FLOOR, #1333
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City | WESTWOOD
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State | MA
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Zip | 02090
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Country | US
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Telephone | 617-682-0749
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MARIE CHANTAL TUFFET
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Credential | PMHNP
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Telephone | 202-384-9125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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