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General NPI Number Information
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NPI Number | 1144196643
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Entity Type | Organization
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Legal Business Name | GERIC NEW DAWN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 215 HIGHWAY 965 NE STE 1
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9091
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Country | US
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Telephone | 641-814-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 ASPEN CT
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-6000
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Country | US
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Telephone | 641-814-6161
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. GERMAINE MBUH
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Credential | DNP
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Telephone | 641-814-6161
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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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