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General NPI Number Information
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NPI Number | 1861250706
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Entity Type | Organization
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Legal Business Name | HARMONIOUS MIND LLC
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 42 WASHINGTON ST STE 210
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City | WELLESLEY
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State | MA
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Zip | 02481-1817
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Country | US
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Telephone | 781-431-2629
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Fax |
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Provider Business Mailing Address
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Address Line | 42 WASHINGTON ST STE 210
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City | WELLESLEY
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State | MA
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Zip | 02481-1817
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Country | US
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Telephone | 781-431-2629
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE GOSSELIN
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Credential |
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Telephone | 781-431-2629
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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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