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General NPI Number Information
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NPI Number | 1902335029
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Entity Type | Organization
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Legal Business Name | THRIVE INTEGRATIVE PSYCHIATRY AND SEXUALITY COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 40 CENTER ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3405
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Country | US
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Telephone | 413-446-3915
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Fax | 413-446-3915
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Provider Business Mailing Address
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Address Line | 448 SMITH RD
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City | ASHFIELD
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State | MA
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Zip | 01330-9503
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Country | US
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Telephone | 413-628-3363
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | ROBIN RIVINUS
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Credential | PNP, CNM,MS
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Telephone | 413-628-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 178157
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 149071
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License Number State | MA
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