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General NPI Number Information
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NPI Number | 1497614911
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Entity Type | Organization
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Legal Business Name | INNER PEACE PSYCHIATRY
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3788 55TH AVE S STE 205
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City | FARGO
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State | ND
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Zip | 58104-5588
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Country | US
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Telephone | 701-205-4847
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Fax | 701-540-0441
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Provider Business Mailing Address
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Address Line | 3788 55TH AVE S STE 205
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City | FARGO
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State | ND
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Zip | 58104-5588
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Country | US
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Telephone | 701-205-4847
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Fax | 701-540-0441
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Authorized Official
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Title or Position | PMHNP
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Name | MARISSA BYRNE
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Credential | DNP, PMHNP-BC
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Telephone | 701-205-4847
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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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