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General NPI Number Information
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NPI Number | 1194300947
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Entity Type | Organization
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Legal Business Name | ABAKE HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 445 MARSHALL ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2695
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Country | US
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Telephone | 973-517-3553
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Fax | 973-710-3098
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Provider Business Mailing Address
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Address Line | 445 MARSHALL ST
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2695
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Country | US
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Telephone | 973-517-3553
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Fax | 973-710-3098
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLUSOLAPE AKINYEMI
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Credential | DNP
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Telephone | 973-517-3553
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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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