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General NPI Number Information
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NPI Number | 1518895499
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Entity Type | Organization
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Legal Business Name | GROUNDED MAMA
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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 | 78 INTERVALE ST
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City | DORCHESTER
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State | MA
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Zip | 02121-2092
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Country | US
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Telephone | 617-505-7286
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Fax |
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Provider Business Mailing Address
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Address Line | 78 INTERVALE ST
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City | DORCHESTER
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State | MA
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Zip | 02121-2092
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Country | US
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Telephone | 617-505-7286
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ LEAD PRACTITIONER
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Name | MRS. MARIAH SABIR
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Credential | MPH
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Telephone | 617-505-7286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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