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General NPI Number Information
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NPI Number | 1275861130
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Entity Type | Individual
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Provider Name | PERPETUAL GYIMAH PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 26 N LEXOW AVE
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City | NANUET
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State | NY
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Zip | 10954-2610
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Country | US
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Telephone | 443-763-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 26 N LEXOW AVE
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City | NANUET
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State | NY
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Zip | 10954-2610
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Country | US
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Telephone | 443-763-6151
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 403850
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 625064
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 297621-1
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License Number State | NY
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