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General NPI Number Information
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NPI Number | 1588590590
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Entity Type | Organization
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Legal Business Name | JUNIPER THERAPY COLLECTIVE LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 16 TERRACE RD
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City | NATICK
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State | MA
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Zip | 01760-2911
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Country | US
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Telephone | 774-270-2856
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Fax |
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Provider Business Mailing Address
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Address Line | 57 DUSTIN ST
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City | BRIGHTON
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State | MA
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Zip | 02135-2806
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Country | US
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Telephone | 774-270-2856
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/THERAPIST
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Name | MR. ALEXANDER HARRIS
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Credential | LMHC
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Telephone | 774-270-2856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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