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General NPI Number Information
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NPI Number | 1609726371
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Entity Type | Organization
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Legal Business Name | SOLIDARITY MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 16 ALWARD RD
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City | BOSTON
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State | MA
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Zip | 02132-7703
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Country | US
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Telephone | 617-237-0455
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Fax | 928-268-0074
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Provider Business Mailing Address
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Address Line | 16 ALWARD RD
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City | BOSTON
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State | MA
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Zip | 02132-7703
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Country | US
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Telephone | 617-237-0455
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Fax | 928-268-0074
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. SHINICHI DAIMYO
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 617-237-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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