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General NPI Number Information
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NPI Number | 1730993080
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Entity Type | Organization
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Legal Business Name | BALANCED INTEGRATIVE CARE
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-398-2636
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Fax |
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Provider Business Mailing Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-398-2636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FERNANDA FRITSCH
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Credential |
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Telephone | 401-398-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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