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General NPI Number Information
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NPI Number | 1952289142
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Entity Type | Organization
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Legal Business Name | COMPASS & CO WELLNESS LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5 POND EDGE TRL
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City | WAREHAM
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State | MA
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Zip | 02571-1130
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Country | US
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Telephone | 508-591-0884
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Fax | 844-779-0327
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Provider Business Mailing Address
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Address Line | 131 SAMOSET ST # 1040
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City | PLYMOUTH
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State | MA
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Zip | 02360-4801
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Country | US
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Telephone | 508-591-0884
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Fax | 844-779-0327
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | LEAH COBURN
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Credential | LICSW
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Telephone | 508-591-0884
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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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