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General NPI Number Information
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NPI Number | 1578419248
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Entity Type | Organization
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Legal Business Name | MINDFUL BALANCE AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 1800 E HIGH ST STE 100
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City | POTTSTOWN
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State | PA
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Zip | 19464-3239
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Country | US
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Telephone | 215-589-5494
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 LOMARA DR
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City | POTTSTOWN
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State | PA
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Zip | 19464-1044
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Country | US
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Telephone | 215-589-5494
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Fax |
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Authorized Official
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Title or Position | OWNER/PMHNP
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Name | ILONA RIZZO
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Credential | RIZZO
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Telephone | 215-589-5494
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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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