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General NPI Number Information
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NPI Number | 1659603181
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Entity Type | Organization
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Legal Business Name | TERESA BAIROS, LMFT & ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 225 NEWMAN AVE
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City | RUMFORD
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State | RI
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Zip | 02916-1218
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Country | US
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Telephone | 401-475-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 225 NEWMAN AVE
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City | RUMFORD
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State | RI
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Zip | 02916-1218
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Country | US
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Telephone | 401-475-5107
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TERESA BAIROS
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Credential | LMFT
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Telephone | 401-383-8349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT00093
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License Number State | RI
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