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General NPI Number Information
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NPI Number | 1255094140
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Entity Type | Organization
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Legal Business Name | KEMUNTO PSYCHIATRIC SOLUTIONS LLC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 2201 N COLLINS ST STE 180
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City | ARLINGTON
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State | TX
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Zip | 76011-2609
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Country | US
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Telephone | 817-677-1450
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Fax | 817-549-7630
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Provider Business Mailing Address
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Address Line | 2201 N COLLINS ST STE 180
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City | ARLINGTON
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State | TX
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Zip | 76011-2609
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Country | US
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Telephone | 817-677-1450
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Fax | 817-549-7630
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | DR. CAROLINE MORAA TOMLINSON
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Credential | PMHNP-BC
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Telephone | 817-677-1450
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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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