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General NPI Number Information
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NPI Number | 1093535049
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Entity Type | Organization
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Legal Business Name | BALANCED PSYCHIATRIC STAFFING SERVICES
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 2774 BIRCHCREST DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-5477
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Country | US
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Telephone | 616-460-1824
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Fax |
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Provider Business Mailing Address
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Address Line | 1152 48TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-4724
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Country | US
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Telephone | 616-460-1824
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE THERESE BEAUCHAMP
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Credential | PMHNP
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Telephone | 616-460-1824
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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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