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General NPI Number Information
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NPI Number | 1982561825
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Entity Type | Organization
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Legal Business Name | UPLIFT BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5260 WASHINGTON ST STE 12
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City | WEST ROXBURY
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State | MA
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Zip | 02132-6354
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Country | US
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Telephone | 617-942-6040
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Fax | 617-390-7008
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Provider Business Mailing Address
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Address Line | 201 QUINCY ST
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City | BROCKTON
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State | MA
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Zip | 02302-2926
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Country | US
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Telephone | 508-313-9994
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Fax | 617-586-1102
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Authorized Official
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Title or Position | CEO
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Name | DONNA MARIE JOHNSON
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Credential |
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Telephone | 508-313-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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