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General NPI Number Information
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NPI Number | 1053270264
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Entity Type | Organization
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Legal Business Name | AKWELI MENTAL SPACE PLLC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3333 WARRENVILLE RD STE 200-4155
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City | LISLE
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State | IL
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Zip | 60532-1157
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Country | US
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Telephone | 331-244-5138
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Fax | 331-241-2201
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Provider Business Mailing Address
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Address Line | 3333 WARRENVILLE RD STE 200-4155
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City | LISLE
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State | IL
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Zip | 60532-1157
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Country | US
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Telephone | 331-244-5138
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Fax | 331-241-2201
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Authorized Official
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Title or Position | PROVIDER
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Name | CATHERINE SINCLAIR
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Credential |
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Telephone | 331-244-5138
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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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