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General NPI Number Information
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NPI Number | 1235034406
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Entity Type | Organization
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Legal Business Name | WELLNESS FIRST NURSE PRACTITIONER IN PSYCHIATRIC LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 308 HAMILTON PL UNIT 2
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City | HACKENSACK
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State | NJ
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Zip | 07601-3678
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Country | US
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Telephone | 518-331-2192
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Fax | 551-403-9398
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Provider Business Mailing Address
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Address Line | 308 HAMILTON PL UNIT 2
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City | HACKENSACK
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State | NJ
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Zip | 07601-3678
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Country | US
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Telephone | 518-331-2192
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Fax | 551-403-9398
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Authorized Official
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Title or Position | PMHNP
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Name | GRACE ADEPOJU
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Credential |
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Telephone | 518-331-2192
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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 | NULL
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