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General NPI Number Information
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NPI Number | 1871316760
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Entity Type | Organization
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Legal Business Name | CAPE WEIGHT AND WELLNESS
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 243 MAIN ST
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3229
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Country | US
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Telephone | 508-743-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 701 W FALMOUTH HWY
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City | FALMOUTH
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State | MA
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Zip | 02540-2119
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Country | US
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Telephone | 82-741-0255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALISON JESSUP
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Credential | PMHNP
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Telephone | 508-274-1025
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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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