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General NPI Number Information
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NPI Number | 1508575077
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPY AND CONSULTING LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 97 CENTRAL ST STE 403B
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City | LOWELL
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State | MA
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Zip | 01852-1917
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Country | US
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Telephone | 978-206-1161
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Fax | 978-600-2090
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Provider Business Mailing Address
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Address Line | 29970 TECHNOLOGY DR STE 205D
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City | MURRIETA
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State | CA
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Zip | 92563-2648
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Country | US
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Telephone | 978-206-1161
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Fax | 978-600-2090
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Authorized Official
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Title or Position | OWNER
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Name | MAYUMI KIMURA
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Credential | LICSW
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Telephone | 978-206-1161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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