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General NPI Number Information
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NPI Number | 1104493378
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Entity Type | Organization
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Legal Business Name | K MENTAL WELLNESS LLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 100 HORIZON CENTER BLVD STE 100
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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Country | US
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Telephone | 609-479-1931
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Fax | 609-498-6203
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Provider Business Mailing Address
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Address Line | 100 HORIZON CENTER BLVD STE 100
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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Country | US
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Telephone | 609-479-1931
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Fax | 609-498-6203
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Authorized Official
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Title or Position | DNP, APRN, PMHNP-BC
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Name | HARRIET O ASAMOAH
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Credential |
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Telephone | 609-479-1931
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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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