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General NPI Number Information
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NPI Number | 1437016250
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Entity Type | Organization
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Legal Business Name | THE GROUNDED RD, LLC.
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 132 BAINBRIDGE ST
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City | MALDEN
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State | MA
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Zip | 02148-2956
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Country | US
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Telephone | 857-205-1706
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Fax |
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Provider Business Mailing Address
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Address Line | 51 PLEASANT ST # 1044
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City | MALDEN
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State | MA
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Zip | 02148-4904
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Country | US
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Telephone | 857-205-1706
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE MICHETTI
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Credential | RD
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Telephone | 857-205-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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