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General NPI Number Information
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NPI Number | 1205746245
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Entity Type | Organization
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Legal Business Name | BLOOM A NEW DAY MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 211 S WASHINGTON ST STE A
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City | SHELBY
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State | NC
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Zip | 28150-4884
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Country | US
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Telephone | 704-997-3366
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Fax | 704-828-7416
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Provider Business Mailing Address
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Address Line | 211 S WASHINGTON ST STE A
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City | SHELBY
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State | NC
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Zip | 28150-4884
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Country | US
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Telephone | 704-997-3366
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Fax | 704-828-7416
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Authorized Official
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Title or Position | ORGANIZING MEMBER
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Name | MORGAN MORGAN
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Credential | PA-C
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Telephone | 704-997-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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