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General NPI Number Information
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NPI Number | 1700314879
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Entity Type | Organization
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Legal Business Name | LIFEWISE, LLC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11 SYLVAN ST
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City | DANVERS
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State | MA
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Zip | 01923-2748
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Country | US
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Telephone | 978-767-9933
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Fax | 978-767-9929
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Provider Business Mailing Address
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Address Line | 11 SYLVAN ST
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City | DANVERS
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State | MA
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Zip | 01923-2748
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Country | US
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Telephone | 978-767-9933
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Fax | 978-767-9929
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | DR. DAVID HELFAND
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Credential | PSYD
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Telephone | 978-767-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10349
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License Number State | MA
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