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General NPI Number Information
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NPI Number | 1730659368
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Entity Type | Organization
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Legal Business Name | BOSTON FAMILY THERAPY & WELLNESS PLLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 1330 BEACON STREET SUITE 263
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City | BROOKLINE
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State | MA
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Zip | 02446
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Country | US
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Telephone | 857-220-7709
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Fax |
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Provider Business Mailing Address
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Address Line | 218 E COTTAGE ST UNIT 3
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City | DORCHESTER
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State | MA
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Zip | 02125
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | ERIN PATRICIA BYRNE
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Credential | LICSW
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Telephone | 857-220-7709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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