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General NPI Number Information
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NPI Number | 1740008176
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Entity Type | Organization
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Legal Business Name | ALDEN PSYCHIATRIC SERVICES, LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1395 ATWOOD AVE STE 201
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City | JOHNSTON
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State | RI
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Zip | 02919-4931
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Country | US
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Telephone | 401-415-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 207 MAIN ST
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City | MEDWAY
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State | MA
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Zip | 02053-1625
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Country | US
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Telephone | 617-306-8697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA HEIM
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Credential | PMHNP
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Telephone | 617-306-8697
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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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