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General NPI Number Information
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NPI Number | 1386570620
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Entity Type | Organization
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Legal Business Name | ANEW BALANCE HEALTH LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 5501 TWIN KNOLLS RD STE 107
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City | COLUMBIA
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State | MD
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Zip | 21045-3260
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Country | US
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Telephone | 240-981-9861
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W REDWOOD ST STE 201
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City | BALTIMORE
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State | MD
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Zip | 21201-1708
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Country | US
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Telephone | 240-353-9181
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | CRYSTAL WHITE
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Credential | RN, MSN, CRNP-PMH
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Telephone | 240-981-9861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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