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General NPI Number Information
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NPI Number | 1659182368
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Entity Type | Organization
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Legal Business Name | SFH SEEDS OF CHANGE LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 39 BOYLSTON ST
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City | BOSTON
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State | MA
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Zip | 02116-4702
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Country | US
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Telephone | 617-542-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 39 BOYLSTON ST
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City | BOSTON
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State | MA
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Zip | 02116-4702
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Country | US
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Telephone | 617-542-4211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KAREN LAFRAZIA
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Credential |
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Telephone | 617-654-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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