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General NPI Number Information
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NPI Number | 1922711951
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND PSYCHIATRIC CARE, LLC
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Dates
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Enumeration Date | 01/04/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 10 FERRY ST STE 307
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City | CONCORD
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State | NH
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Zip | 03301-5081
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Country | US
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Telephone | 613-219-2383
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FERRY ST STE 307
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City | CONCORD
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State | NH
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Zip | 03301-5081
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Country | US
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Telephone | 613-219-2383
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC, FNP-C
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Name | COLLEEN ESTES
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Credential | MSN, APRN
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Telephone | 603-219-2383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 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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