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General NPI Number Information
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NPI Number | 1841973112
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 45 SCHOOL ST STE 2 UNIT 5
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City | TAUNTON
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State | MA
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Zip | 02780-3222
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Country | US
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Telephone | 508-213-1326
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Fax | 949-695-3569
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Provider Business Mailing Address
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Address Line | 10 MERCHANTS WAY STE 6 PMB 303
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City | MIDDLEBORO
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State | MA
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Zip | 02346-1843
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Country | US
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Telephone | 508-213-1326
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Fax | 949-695-3569
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE BRADFORD
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Credential | PMHNP
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Telephone | 508-213-1326
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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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