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General NPI Number Information
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NPI Number | 1083434716
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Entity Type | Organization
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Legal Business Name | TRAINED MIND PSYCHIATRY LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 7000 HADLEY RD # 1180
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1139
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Country | US
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Telephone | 201-716-1558
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Fax | 201-716-1557
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Provider Business Mailing Address
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Address Line | 43 KARNAL DRIVE
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City | PISCATAWAY
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State | NJ
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Zip | 08854
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Country | US
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Telephone | 201-716-1558
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Fax | 201-716-1557
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Authorized Official
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Title or Position | OWNER/ APN
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Name | NKEM ANI
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Credential |
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Telephone | 201-716-1558
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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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