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General NPI Number Information
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NPI Number | 1013624402
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Entity Type | Organization
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Legal Business Name | BALANCED MENTAL HEALTH INC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 15280 DURANGO CIR
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City | BROOKSVILLE
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State | FL
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Zip | 34604-5003
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Country | US
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Telephone | 727-382-3538
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Fax | 727-416-7061
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Provider Business Mailing Address
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Address Line | 15280 DURANGO CIR
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City | BROOKSVILLE
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State | FL
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Zip | 34604-5003
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Country | US
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Telephone | 727-382-3538
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Fax | 727-416-7061
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JASMIN PERRY
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Credential | APRN, PMHNP-BC, FNP
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Telephone | 727-382-3538
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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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