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General NPI Number Information
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NPI Number | 1760993554
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Entity Type | Organization
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Legal Business Name | TRIWELLNESS HOLISTIC CENTER LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 14 DORCHESTER ST STE 2
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-1306
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Country | US
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Telephone | 508-617-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 14 DORCHESTER ST STE 2
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City | SOUTH BOSTON
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State | MA
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Zip | 02127-1306
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Country | US
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Telephone | 508-617-0070
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MS. CAROL A SOLDEVILLA
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Credential | LICSW
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Telephone | 508-610-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 115897
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License Number State | MA
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