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General NPI Number Information
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NPI Number | 1013692177
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Entity Type | Organization
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Legal Business Name | NJOY LIFE LIVING IN FULL EMPOWERMENT LLC
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 3343 PEACHTREE RD NE STE 145-609
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City | ATLANTA
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State | GA
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Zip | 30326-1085
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Country | US
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Telephone | 678-820-6569
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Fax | 414-296-8877
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Provider Business Mailing Address
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Address Line | 3343 PEACHTREE RD NE STE 145-609
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City | ATLANTA
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State | GA
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Zip | 30326-1085
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Country | US
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Telephone | 678-820-6569
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Fax | 414-296-8877
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. NINA JOY MENA
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Credential | MD
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Telephone | 678-820-6569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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