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General NPI Number Information
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NPI Number | 1245140011
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Entity Type | Organization
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Legal Business Name | PAYNE PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 3 EXECUTIVE PARK DR STE 245
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City | BEDFORD
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State | NH
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Zip | 03110-7064
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Country | US
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Telephone | 603-316-2415
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Fax | 603-859-8191
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Provider Business Mailing Address
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Address Line | 3 EXECUTIVE PARK DR STE 245
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City | BEDFORD
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State | NH
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Zip | 03110-7064
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Country | US
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Telephone | 603-316-2415
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Fax | 603-859-8191
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW PAYNE
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Credential | APRN
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Telephone | 603-316-2415
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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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