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General NPI Number Information
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NPI Number | 1457073421
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Entity Type | Organization
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Legal Business Name | MOLLY PIPP LLC
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 125 PEARL ST STE 850414
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City | BRAINTREE
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State | MA
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Zip | 02184-6525
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Country | US
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Telephone | 617-657-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 125 PEARL ST STE 850414
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City | BRAINTREE
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State | MA
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Zip | 02184-6525
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Country | US
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Telephone | 617-657-4234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOLLY PIPP
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Credential | LMHC
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Telephone | 617-657-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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