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General NPI Number Information
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NPI Number | 1891412763
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Entity Type | Organization
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Legal Business Name | INNER YOU OF MASSACHUSETTS
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 1547 FALL RIVER AVE # 2A
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City | SEEKONK
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State | MA
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Zip | 02771-3744
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Country | US
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Telephone | 401-391-5489
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Fax |
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Provider Business Mailing Address
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Address Line | 2184 PLAINFIELD PIKE
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City | CRANSTON
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State | RI
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Zip | 02921-2012
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Country | US
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Telephone | 401-391-5489
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERRI MOWBRAY
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Credential |
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Telephone | 401-391-5489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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