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General NPI Number Information
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NPI Number | 1023835840
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Entity Type | Organization
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Legal Business Name | OHANA MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 7201 METRO BLVD STE 550
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City | EDINA
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State | MN
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Zip | 55439-1353
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Country | US
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Telephone | 612-568-2633
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Fax | 612-567-4469
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Provider Business Mailing Address
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Address Line | 3161 RUM RIVER WAY
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City | ANOKA
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State | MN
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Zip | 55303-4153
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Country | US
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Telephone | 952-457-3635
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Fax | 612-567-4469
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Authorized Official
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Title or Position | PRESIDENT
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Name | BERNICE GYAMFI
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Credential | C-NP
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Telephone | 952-457-3635
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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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