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General NPI Number Information
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NPI Number | 1750039715
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Entity Type | Organization
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Legal Business Name | NEXT STOP SOBER LLC
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 100 MERRIMACK ST STE 301E
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City | LOWELL
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State | MA
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Zip | 01852-1708
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Country | US
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Telephone | 888-407-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 141 JOHN ST APT 409
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City | LOWELL
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State | MA
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Zip | 01852-1139
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Country | US
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Telephone | 888-407-4799
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EUGENE LAWRENCE
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Credential |
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Telephone | 888-407-4799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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