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General NPI Number Information
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NPI Number | 1174302707
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Entity Type | Organization
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Legal Business Name | DIAMOND MIND & BODY
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 9 SWAN HILL RD
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City | OAKLAND
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State | ME
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Zip | 04963-4831
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Country | US
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Telephone | 888-574-7165
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Fax |
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Provider Business Mailing Address
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Address Line | 55 CRYSTAL LN
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City | LITCHFIELD
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State | ME
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Zip | 04350-4242
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Country | US
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Telephone | 888-574-7165
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Fax | 888-236-3234
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Authorized Official
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Title or Position | APN
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Name | NWAMAKA ONYEOGO
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Credential |
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Telephone | 888-574-7165
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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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