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General NPI Number Information
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NPI Number | 1205797073
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Entity Type | Individual
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Provider Name | MUJIDAT ADETOLA YUSUF MSN, RN, CNP-BC, PMH
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 18 E 41ST ST
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City | NEW YORK
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State | NY
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Zip | 10017-6222
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Country | US
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Telephone | 877-803-5342
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Fax | 917-477-6852
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Provider Business Mailing Address
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Address Line | 210 N HAMMES AVE STE 205
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City | JOLIET
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State | IL
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Zip | 60435-8139
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Country | US
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Telephone | 347-283-4703
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 407890
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1226794
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209033214
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License Number State | IL
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