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General NPI Number Information
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NPI Number | 1336950658
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Entity Type | Organization
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Legal Business Name | ADVANCED MIND HEALING & WELLNESS, PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 20 FOUNDRY ST 2ND FLR
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City | CONCORD
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State | NH
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Zip | 03301-5419
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Country | US
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Telephone | 617-500-5767
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Fax | 617-415-2708
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Provider Business Mailing Address
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Address Line | 20 FOUNDRY ST 2ND FL
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City | CONCORD
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State | NH
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Zip | 03301-5419
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Country | US
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Telephone | 617-500-5767
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Fax | 617-415-2708
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH ARNP
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Name | MS. CAMELLA GRANARA
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Credential | PMHNP-BC
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Telephone | 617-500-5767
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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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