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General NPI Number Information
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NPI Number | 1871738807
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Entity Type | Individual
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Provider Name | KEEGAN TYREL ARCURE LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 22 WEST ST STE 4B
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City | MILLBURY
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State | MA
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Zip | 01527-2677
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Country | US
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Telephone | 860-506-5913
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | MILLBURY
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State | MA
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Zip | 01527-0246
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Country | US
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Telephone | 774-808-1626
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7824
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License Number State | MA
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