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General NPI Number Information
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NPI Number | 1053167825
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Entity Type | Organization
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Legal Business Name | AUSPICIOUS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 511 6TH AVE # 7259
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City | NEW YORK
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State | NY
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Zip | 10011-8436
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Country | US
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Telephone | 475-441-3924
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Fax | 516-386-4077
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Provider Business Mailing Address
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Address Line | 511 6TH AVE # 7259
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City | NEW YORK
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State | NY
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Zip | 10011-8436
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Country | US
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Telephone | 475-441-3924
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | OLANIKE OYEYEMI KEKERE
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Credential | NP
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Telephone | 475-441-3924
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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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