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General NPI Number Information
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NPI Number | 1043931892
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Entity Type | Organization
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Legal Business Name | ENLIGHTEN HEALTHCARE PLLC
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1925 LOVETT AVE STE 5
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City | BISMARCK
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State | ND
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Zip | 58504-6736
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Country | US
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Telephone | 701-540-9801
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Fax | 701-394-5317
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Provider Business Mailing Address
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Address Line | 1925 LOVETT AVE STE 5
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City | BISMARCK
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State | ND
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Zip | 58504-3604
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Country | US
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Telephone | 701-540-9801
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Fax | 701-394-5317
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Authorized Official
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Title or Position | PMHNP
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Name | TONYA LEA AUCK
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Credential |
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Telephone | 701-400-3167
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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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