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General NPI Number Information
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NPI Number | 1154136539
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Entity Type | Organization
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Legal Business Name | LOTUS MENTAL HEALTH & WELLNESS INC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 445 BRICK BLVD STE 304
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City | BRICK
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State | NJ
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Zip | 08723-6080
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Country | US
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Telephone | 732-701-7031
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Fax | 732-520-3721
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Provider Business Mailing Address
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Address Line | 28 SUGARBUSH RD
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City | HOWELL
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State | NJ
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Zip | 07731-2314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRANCINE DYGULSKI
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Credential | APN
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Telephone | 732-701-7031
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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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