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General NPI Number Information
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NPI Number | 1790647956
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Entity Type | Organization
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Legal Business Name | INNERRISE PSYCHIATRIC SERVICES AND WELLNESS
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 841 MAIN ST STE 1B
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City | WALPOLE
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State | MA
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Zip | 02081-2997
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Country | US
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Telephone | 508-503-6807
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Fax |
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Provider Business Mailing Address
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Address Line | 841 MAIN ST STE 1B
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City | WALPOLE
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State | MA
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Zip | 02081-2997
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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 | NURSE PRACTITIONER-PSYCHIATRY
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Name | MOISE RENE
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Credential | APRN
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Telephone | 508-503-6807
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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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