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General NPI Number Information
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NPI Number | 1962299271
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Entity Type | Organization
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Legal Business Name | TREE OF LIFE MENTAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 147 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-8724
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Country | US
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Telephone | 774-203-4330
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Fax |
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Provider Business Mailing Address
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Address Line | 21 DINAH PATH
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City | PLYMOUTH
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State | MA
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Zip | 02360-2658
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Country | US
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Telephone | 774-203-4330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JODY BETH ROSSI
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Credential | NP
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Telephone | 774-203-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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