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General NPI Number Information
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NPI Number | 1417838889
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Entity Type | Organization
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Legal Business Name | SPEARGOLD BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 145 TREMONT ST
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City | BOSTON
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State | MA
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Zip | 02111-1208
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Country | US
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Telephone | 781-240-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 117 WAYLAND ST
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City | DORCHESTER
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State | MA
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Zip | 02125-3028
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Country | US
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Telephone | 857-266-0324
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MS. NGOZI O ARUA
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Credential |
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Telephone | 857-266-0324
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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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