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NPI 1588468771

NPI 1588468771 : HUNGER MOUNTAIN LLC : MONTEREY, MA

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General NPI Number Information
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    NPI Number           |    1588468771
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUNGER MOUNTAIN LLC 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    70 HUPI RD 
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    City                 |    MONTEREY
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    State                |    MA
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    Zip                  |    01245-7733
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    Country              |    US
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    Telephone            |    413-854-8662
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    Fax                  |    413-528-5414
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Provider Business Mailing Address
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    Address Line         |    PO BOX 75 
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    City                 |    MONTEREY
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    State                |    MA
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    Zip                  |    01245-0075
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    Country              |    US
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    Telephone            |    413-854-8662
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    Fax                  |    413-528-5414
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     FRANCES  HUBERMAN 
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    Credential           |    LICSW
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    Telephone            |    413-854-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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