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General NPI Number Information
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NPI Number | 1679211833
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Entity Type | Organization
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Legal Business Name | PIVOTCARE, LLC
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 42 TREMONT ST STE 10B
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City | DUXBURY
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State | MA
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Zip | 02332-5313
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Country | US
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Telephone | 781-589-8929
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Fax | 888-297-6967
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Provider Business Mailing Address
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Address Line | 42 TREMONT ST STE 10B
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City | DUXBURY
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State | MA
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Zip | 02332-5313
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Country | US
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Telephone | 781-589-8929
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Fax | 888-297-6967
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MAURA S DAVIS
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Credential | CNP, PMHNP
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Telephone | 781-742-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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