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General NPI Number Information
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NPI Number | 1629771886
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Entity Type | Organization
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Legal Business Name | CATARINA BONGIORNI PSYCHIATRY PLLC
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 205 WILLOW ST STE B3A
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City | SOUTH HAMILTON
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State | MA
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Zip | 01982-2253
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Country | US
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Telephone | 978-393-8746
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Fax | 978-393-8740
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Provider Business Mailing Address
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Address Line | 205 WILLOW ST STE B3A
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City | SOUTH HAMILTON
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State | MA
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Zip | 01982-2253
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Country | US
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Telephone | 978-393-8746
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Fax | 978-393-8740
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Authorized Official
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Title or Position | OWNER
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Name | CATARINA BONGIORNI
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Credential |
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Telephone | 978-393-8746
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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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