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General NPI Number Information
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NPI Number | 1932822947
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Entity Type | Organization
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Legal Business Name | HEALING PARTNERS PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 1048 SOUTH ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-1232
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Country | US
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Telephone | 207-659-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 SOUTH ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-1232
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Country | US
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Telephone | 207-659-5160
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Fax |
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | MRS. LAURA RUTH FEAGA
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Credential | PMHNP-BC
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Telephone | 207-659-5160
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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