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General NPI Number Information
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NPI Number | 1871248443
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Entity Type | Organization
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Legal Business Name | PERSEVERANCE CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/12/2022
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Last Update Date | 02/12/2022
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Provider Practice Location Address
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Address Line | 121 LINCOLN ST STE 2
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City | WORCESTER
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State | MA
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Zip | 01605-2429
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Country | US
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Telephone | 954-297-2549
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Fax | 774-389-6409
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Provider Business Mailing Address
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Address Line | 121 LINCOLN ST STE 2
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City | WORCESTER
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State | MA
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Zip | 01605-2429
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Country | US
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Telephone | 954-297-2549
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Fax | 774-389-6409
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Authorized Official
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Title or Position | OWNER
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Name | MISS TAMISE FRANCOIS
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Credential | LMCH
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Telephone | 954-297-2549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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