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General NPI Number Information
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NPI Number | 1104605153
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Entity Type | Organization
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Legal Business Name | JOYFUL BALANCE HOLISTIC HEALING PLLC
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 171 PORTLAND RD STE 4
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City | BRIDGTON
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State | ME
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Zip | 04009-4259
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Country | US
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Telephone | 207-803-8888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 282
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City | BRIDGTON
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State | ME
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Zip | 04009-0282
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Country | US
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Telephone | 207-803-8888
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICIAN
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Name | ERINN HEATHER WRIGHT
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Credential | MD
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Telephone | 207-803-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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