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General NPI Number Information
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NPI Number | 1508373598
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Entity Type | Organization
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Legal Business Name | AT EASE MENTAL HEALTH INC
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 26 COURT ST UNIT 4
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City | PROVINCETOWN
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State | MA
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Zip | 02657-1322
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Country | US
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Telephone | 508-444-9966
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Fax | 617-245-4619
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Provider Business Mailing Address
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Address Line | 26 COURT ST UNIT 4
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City | PROVINCETOWN
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State | MA
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Zip | 02657-1322
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Country | US
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Telephone | 617-875-9646
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Fax | 617-245-4619
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Authorized Official
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Title or Position | OWNER
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Name | FRANK D. BELLISTRI
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Credential | NP
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Telephone | 508-444-9966
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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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