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General NPI Number Information
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NPI Number | 1467329847
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Entity Type | Organization
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Legal Business Name | BLOOM MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 20 CHESTNUT ST
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City | NEEDHAM
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State | MA
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Zip | 02492-2576
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Country | US
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Telephone | 339-204-0297
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 SOLDIERS FIELD RD STE 7
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City | BRIGHTON
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State | MA
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Zip | 02135-1108
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Country | US
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Telephone | 339-204-0297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN SUTHERLAND
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Credential | APRN
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Telephone | 339-204-0297
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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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