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General NPI Number Information
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NPI Number | 1447061189
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Entity Type | Organization
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Legal Business Name | MINDMATTERS WELLNESS
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 287 GROVE ST STE 260
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City | WORCESTER
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State | MA
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Zip | 01605-3905
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Country | US
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Telephone | 774-253-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 585 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02861-2648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARGARET FREMPONG
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Credential |
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Telephone | 774-253-0104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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