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General NPI Number Information
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NPI Number | 1821954280
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Entity Type | Organization
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Legal Business Name | REBEL BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 190 OLD DERBY ST STE 211
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City | HINGHAM
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State | MA
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Zip | 02043-4066
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Country | US
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Telephone | 518-414-1214
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Fax |
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Provider Business Mailing Address
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Address Line | 82 BAY DR
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City | CANTON
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State | MA
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Zip | 02021-4182
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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 | PMHNP
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Name | SARAH MARIE REBEL
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Credential | PMHNP
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Telephone | 518-414-1214
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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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