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General NPI Number Information
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NPI Number | 1134096167
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Entity Type | Organization
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Legal Business Name | SL RAYMIRI WELLNESS, LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 116 VILLAGE BLVD STE 200
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City | PRINCETON
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State | NJ
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Zip | 08540-5700
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Country | US
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Telephone | 609-577-7802
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Fax |
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Provider Business Mailing Address
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Address Line | 56 FLORISTER DR
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City | HAMILTON
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State | NJ
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Zip | 08690-2520
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Country | US
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Telephone | 609-577-7802
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | STACEY NEGRON
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Credential | PMHNP
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Telephone | 609-577-7802
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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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