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General NPI Number Information
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NPI Number | 1245941384
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Entity Type | Organization
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Legal Business Name | ABSOLUTE PSYCH CARE PLLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 230 AMHERST ST # 106
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City | NASHUA
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State | NH
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Zip | 03063-1702
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Country | US
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Telephone | 508-484-3034
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Fax |
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Provider Business Mailing Address
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Address Line | 84 W BROADWAY STE 200
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City | DERRY
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State | NH
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Zip | 03038-2323
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNMICHAEL KIMANI
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Credential | PMHNP-BC
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Telephone | 508-484-3034
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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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