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General NPI Number Information
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NPI Number | 1043926918
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Entity Type | Organization
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Legal Business Name | TODAY IS YOURS
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 307 BLOOMFIELD AVE STE 301
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City | CALDWELL
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State | NJ
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Zip | 07006-5165
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Country | US
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Telephone | 862-359-9160
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Fax | 855-864-2515
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Provider Business Mailing Address
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Address Line | 2 LINCOLN TER
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City | CALDWELL
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State | NJ
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Zip | 07006-5611
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Country | US
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Telephone | 973-641-2003
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Fax | 855-864-2515
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Authorized Official
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Title or Position | OWNER
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Name | LINDA A PERRY
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Credential | PMHNP-BC
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Telephone | 973-641-2003
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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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