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General NPI Number Information
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NPI Number | 1881186369
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Entity Type | Organization
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Legal Business Name | COMPASS WELLNESS
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 75 ARLINGTON ST STE 500
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City | BOSTON
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State | MA
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Zip | 02116-3986
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Country | US
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Telephone | 617-816-0094
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Fax | 617-934-2683
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Provider Business Mailing Address
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Address Line | 75 ARLINGTON ST STE 500
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City | BOSTON
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State | MA
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Zip | 02116-3986
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Country | US
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Telephone | 617-816-0094
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Fax | 617-934-2683
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNY PATRICIA RIVILLAS-O'NEILL
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Credential | PMHNP
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Telephone | 617-816-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | RN2259385
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License Number State | MA
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