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General NPI Number Information
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NPI Number | 1598555138
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Entity Type | Organization
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Legal Business Name | PNT MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 199 ISLAND RD
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City | LUNENBURG
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State | MA
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Zip | 01462-1148
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Country | US
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Telephone | 978-340-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 199 ISLAND RD
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City | LUNENBURG
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State | MA
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Zip | 01462-1148
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Country | US
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Telephone | 978-340-0000
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | PETER TOUBORG
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Credential |
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Telephone | 978-340-0000
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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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