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General NPI Number Information
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NPI Number | 1821882598
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Entity Type | Organization
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Legal Business Name | DAUNTLESS PSYCHOTHERAPY SERVICE, LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 215 TOLL GATE RD STE 309
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City | WARWICK
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State | RI
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Zip | 02886-4463
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Country | US
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Telephone | 401-481-1218
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Fax | 401-287-2247
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Provider Business Mailing Address
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Address Line | 156 W SHORE DR
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City | EXETER
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State | RI
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Zip | 02822-1916
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Country | US
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Telephone | 401-481-1218
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MRS. MEREDITH FROST INGEBRETSEN
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Credential | LMFT
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Telephone | 401-320-9529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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