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General NPI Number Information
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NPI Number | 1093634099
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Entity Type | Organization
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Legal Business Name | BLOOM IN MINDFUL BALANCE PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 11602 W CENTER RD STE 100
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City | OMAHA
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State | NE
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Zip | 68144-4440
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Country | US
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Telephone | 402-526-3751
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Fax | 402-702-1518
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Provider Business Mailing Address
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Address Line | 11602 W CENTER RD STE 100
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City | OMAHA
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State | NE
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Zip | 68144-4440
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Country | US
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Telephone | 402-526-3751
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Fax | 402-702-1518
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Authorized Official
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Title or Position | OWNER
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Name | SHERRI TAYLOR
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Credential | PMHNP-BC
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Telephone | 402-526-3751
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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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