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General NPI Number Information
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NPI Number | 1437852555
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Entity Type | Individual
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Provider Name | LOUIS MOUZIN JEAN-MICHEL
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Gender | Male
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 156 GEORGETOWNE PL
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City | HYDE PARK
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State | MA
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Zip | 02136-1047
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Country | US
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Telephone | 617-259-6431
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Fax |
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Provider Business Mailing Address
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Address Line | 156 GEORGETOWNE PL
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City | HYDE PARK
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State | MA
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Zip | 02136-1047
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Country | US
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Telephone | 617-259-6431
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2289791
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License Number State | MA
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