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General NPI Number Information
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NPI Number | 1447188180
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Entity Type | Organization
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Legal Business Name | YOUR TRUE SELF LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 15 BELMONT AVE
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City | HAVERHILL
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State | MA
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Zip | 01830-6601
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Country | US
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Telephone | 908-565-3281
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Fax | 617-340-2618
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Provider Business Mailing Address
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Address Line | 20 HUCKINS RD
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City | MADBURY
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State | NH
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Zip | 03823-7526
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Country | US
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Telephone | 908-565-3281
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Fax | 617-340-2618
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL DEZMIN
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Credential | OTR/L
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Telephone | 908-565-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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