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General NPI Number Information
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NPI Number | 1760625602
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Entity Type | Organization
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Legal Business Name | TAIGHSOLAIS
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 36 CORDAGE PARK SUITE 123
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City | PLYMOUTH
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State | MA
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Zip | 02360
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Country | US
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Telephone | 508-927-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 30 JACQUELINE LN
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City | PLYMOUTH
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State | MA
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Zip | 02360-4672
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Country | US
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Telephone | 508-927-6920
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Fax | 508-689-7695
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM CLIFFORD HAUGHN
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Credential | LMHC
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Telephone | 508-927-6920
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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 | 6313
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License Number State | MA
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