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General NPI Number Information
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NPI Number | 1912871658
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS MENTAL HEALTH LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 201 5TH ST STE 201
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City | HUNTINGDON
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State | PA
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Zip | 16652-1549
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Country | US
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Telephone | 570-778-4239
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Fax |
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Provider Business Mailing Address
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Address Line | 795 BALDAUF RD
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City | TYRONE
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State | PA
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Zip | 16686-6260
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | FAWN LYNN BALDAUF
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Credential | PMHNP
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Telephone | 570-778-4239
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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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