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General NPI Number Information
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NPI Number | 1194654590
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Entity Type | Organization
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Legal Business Name | AADIA M PRACTICE LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 37 MEMORIAL PL FL 1
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1358
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Country | US
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Telephone | 201-222-1318
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Fax | 201-301-8477
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Provider Business Mailing Address
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Address Line | 37 MEMORIAL PL FL 1
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1358
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Country | US
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Telephone | 201-222-1318
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Fax | 201-301-8477
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Authorized Official
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Title or Position | APN
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Name | LINA MUTHONI
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Credential |
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Telephone | 201-222-1318
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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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