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General NPI Number Information
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NPI Number | 1245025345
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Entity Type | Organization
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Legal Business Name | NAAOMA MIND & WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 695 MISSION DEORO DRIVE
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City | REDDING
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State | CA
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Zip | 96003
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Country | US
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Telephone | 714-461-0746
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Fax | 714-364-1081
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Provider Business Mailing Address
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Address Line | 695 MISSION DE ORO DR
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City | REDDING
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State | CA
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Zip | 96003-3885
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Country | US
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Telephone | 714-461-0746
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Fax | 714-364-1081
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Authorized Official
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Title or Position | OWNER
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Name | NIKKY OKONKWO
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Credential | PMHNP
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Telephone | 972-201-6965
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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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