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General NPI Number Information
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NPI Number | 1285538470
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Entity Type | Organization
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Legal Business Name | D-BALM PSYCHIATRIC HEALTHCARE PLLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 705 E BROAD ST STE 101
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City | MANSFIELD
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State | TX
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Zip | 76063-6914
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Country | US
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Telephone | 682-556-6779
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 WILD INDIGO DR
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City | MANSFIELD
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State | TX
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Zip | 76063-4688
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Country | US
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Telephone | 682-556-6779
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FOLUKEMI OLAWEPO
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Credential | PMHNP-BC
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Telephone | 682-556-6779
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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 | NULL
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