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General NPI Number Information
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NPI Number | 1740901537
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Entity Type | Organization
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Legal Business Name | HEALING VISION PLLC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 500 GROSSMAN DR # 1116
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City | BRAINTREE
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State | MA
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Zip | 02184-4953
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Country | US
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Telephone | 508-631-4909
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Fax | 508-785-7849
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Provider Business Mailing Address
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Address Line | 500 GROSSMAN DR # 1116
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City | BRAINTREE
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State | MA
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Zip | 02184-4953
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Country | US
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Telephone | 508-631-4909
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Fax | 508-785-7849
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | JOHANNE CAZEAU
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Credential | PMHNP-BC
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Telephone | 508-631-4909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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