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General NPI Number Information
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NPI Number | 1790540565
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND PSYCHIATRY AND WELLNESS LLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 461 MAIN ST
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City | FRANCONIA
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State | NH
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Zip | 03580-4835
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Country | US
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Telephone | 603-616-5906
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 ROUTE 117
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City | SUGAR HILL
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State | NH
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Zip | 03586-4214
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Country | US
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Telephone | 603-616-5906
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JOHANNAH CACIO
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Credential | PMHNP
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Telephone | 603-616-5906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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