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General NPI Number Information
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NPI Number | 1184129157
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Entity Type | Organization
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Legal Business Name | PERFECT PEACE HEALTH CONSULTANTS PLLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 1401 GILDAY DR
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City | ARLINGTON
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State | TX
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Zip | 76002-3734
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Country | US
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Telephone | 214-604-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 GILDAY DR
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City | ARLINGTON
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State | TX
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Zip | 76002-3734
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Country | US
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Telephone | 214-604-0318
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAMESHA ROSHUN MITCHELL
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Credential | PMHNP
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Telephone | 214-604-0318
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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 | AP129277
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License Number State | TX
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