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General NPI Number Information
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NPI Number | 1427659986
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Entity Type | Organization
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Legal Business Name | BALANCE MENTAL HEALTH, P.L.L.C.
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2 DELTA DR STE 303
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City | CONCORD
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State | NH
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Zip | 03301-7427
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Country | US
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Telephone | 603-852-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 75 S MAIN ST
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City | CONCORD
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State | NH
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Zip | 03301-4868
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Country | US
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Telephone | 603-852-0639
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | CAROLYN MALLON
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Credential | DNP, APRN, PMHNP
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Telephone | 603-852-0639
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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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