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General NPI Number Information
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NPI Number | 1578334595
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Entity Type | Organization
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Legal Business Name | PARADISE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 74 ATLANTIC AVE UNIT 201B
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City | MARBLEHEAD
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State | MA
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Zip | 01945-3067
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Country | US
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Telephone | 978-216-3804
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Fax | 949-695-4067
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Provider Business Mailing Address
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Address Line | 52 BROOKHOUSE DR
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City | MARBLEHEAD
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State | MA
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Zip | 01945-1611
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Country | US
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Telephone | 781-691-1733
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Fax | 949-695-4067
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | AL BERRY
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Credential | NP
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Telephone | 469-915-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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