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General NPI Number Information
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NPI Number | 1295558161
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Entity Type | Organization
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Legal Business Name | WISE MIND MEDICATION MANAGEMENT
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 7 HAMILTON ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-2607
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Country | US
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Telephone | 603-973-6404
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HAMILTON ST
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City | SOMERSWORTH
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State | NH
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Zip | 03878-2607
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Country | US
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Telephone | 603-973-6404
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Fax |
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Authorized Official
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Title or Position | MANAGER OF PLLC
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Name | AINSELY P MILLER
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Credential | APRN
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Telephone | 603-973-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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