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General NPI Number Information
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NPI Number | 1699574731
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Entity Type | Organization
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Legal Business Name | RICHIE PRYOR PSYCHOTHERAPY, LLC.
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 8 SAMOSET ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-4561
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Country | US
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Telephone | 508-591-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 110 CAPE COD AVE
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City | PLYMOUTH
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State | MA
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Zip | 02360-1204
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Country | US
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Telephone | 781-426-5442
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD SCOTT PRYOR
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Credential | LMHC
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Telephone | 508-591-0141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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