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General NPI Number Information
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NPI Number | 1922876135
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Entity Type | Organization
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Legal Business Name | HIGHLANDS PERFORMANCE AND PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 132 CHURCH ST UNIT 2
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City | WALTHAM
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State | MA
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Zip | 02452-5618
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Country | US
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Telephone | 401-862-8803
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Fax |
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Provider Business Mailing Address
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Address Line | 132 CHURCH ST UNIT 2
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City | WALTHAM
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State | MA
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Zip | 02452-5618
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Country | US
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Telephone | 401-862-8803
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOLOGIST
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Name | DR. TREVOR COTE
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Credential | PHD
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Telephone | 401-862-8803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TE1100X
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Taxonomy Name | Exercise & Sports Psychologist
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License Number |
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License Number State |
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