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General NPI Number Information
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NPI Number | 1790694701
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Entity Type | Organization
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Legal Business Name | REBLOOM MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 394 WILLIAMSTOWNE STE 302
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City | DELAFIELD
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State | WI
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Zip | 53018-2200
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Country | US
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Telephone | 608-354-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 802 MOONLIGHT TRL
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City | VERONA
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State | WI
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Zip | 53593-8471
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Country | US
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Telephone | 608-354-2356
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL GRAAP
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Credential | PMHNP-BC, PMHNP-C
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Telephone | 608-354-2356
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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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