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General NPI Number Information
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NPI Number | 1427887579
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Entity Type | Organization
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Legal Business Name | VVRV ANALYSIS, LLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 10 DERNE ST STE 402
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City | BOSTON
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State | MA
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Zip | 02114-4203
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Country | US
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Telephone | 617-903-0968
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DERNE ST STE 402
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City | BOSTON
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State | MA
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Zip | 02114-4203
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Country | US
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Telephone | 617-903-0968
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHODYNAMIC ANALYST
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Name | VANESSA VICTORIA RODRIGUEZ VARGAS
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Credential | MA, LMHC, MCCS
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Telephone | 617-903-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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