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General NPI Number Information
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NPI Number | 1821802588
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Entity Type | Organization
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Legal Business Name | RT WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 440 ARSENAL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2898
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Country | US
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Telephone | 617-744-1138
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Fax | 888-510-2216
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Provider Business Mailing Address
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Address Line | 440 ARSENAL ST
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City | WATERTOWN
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State | MA
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Zip | 02472-2898
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Country | US
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Telephone | 617-744-1138
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Fax | 888-510-2216
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. STEPHANIE D. BLICK
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Credential | MS, CWP
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Telephone | 407-491-0883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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