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General NPI Number Information
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NPI Number | 1215612007
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Entity Type | Organization
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Legal Business Name | EQUANIMITY HEALTH LLC
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2128 UNIVERSITY DR
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City | NAPERVILLE
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State | IL
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Zip | 60565-3485
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Country | US
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Telephone | 630-877-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 2128 UNIVERSITY DR
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City | NAPERVILLE
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State | IL
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Zip | 60565-3485
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Country | US
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Telephone | 630-877-1533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES LEE
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Credential | DPT, DNP, FNP, PMHNP
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Telephone | 630-877-1533
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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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