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General NPI Number Information
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NPI Number | 1942923420
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH PROFESSIONALS OF NEW ENGLAND, PLLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 100 MAIN ST #101A
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City | WHITINSVILLE
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State | MA
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Zip | 01588-2246
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Country | US
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Telephone | 508-714-7018
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MAIN ST #101A
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City | WHITINSVILLE
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State | MA
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Zip | 01588-2246
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Country | US
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Telephone | 508-714-7018
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD TIMINSKI
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Credential | PMHNP-BC, AGACNP-BC
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Telephone | 508-714-7018
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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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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 |
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License Number State |
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