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General NPI Number Information
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NPI Number | 1538035951
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Entity Type | Organization
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Legal Business Name | BLOOM & BALANCE PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 6901 PROFESSIONAL PKWY STE 200
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240-8473
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Country | US
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Telephone | 941-352-9832
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Fax | 941-855-3009
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Provider Business Mailing Address
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Address Line | 4116 BUTTE TRL
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City | BRADENTON
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State | FL
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Zip | 34211-1537
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Country | US
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Telephone | 941-352-9832
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Fax | 941-855-3009
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ANNABELLE JOY CARNEY
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Credential | PA
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Telephone | 941-352-9832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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