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General NPI Number Information
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NPI Number | 1811535008
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Entity Type | Organization
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Legal Business Name | DAWN OF A NEW DAY MENTAL HEALTH, PLLC
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 250 COMMERCIAL ST STE 2100
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City | MANCHESTER
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State | NH
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Zip | 03101-1142
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Country | US
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Telephone | 603-848-4180
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Fax | 888-570-4705
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Provider Business Mailing Address
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Address Line | PO BOX 1641
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City | CONCORD
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State | NH
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Zip | 03302-1641
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Country | US
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Telephone | 603-848-4180
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Fax | 888-570-4705
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | DAWN DECOSTA
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Credential | PMHNP
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Telephone | 603-848-4180
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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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