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General NPI Number Information
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NPI Number | 1316714280
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Entity Type | Organization
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Legal Business Name | AMANI MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 110 HAVERHILL RD STE 319
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City | AMESBURY
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State | MA
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Zip | 01913-2129
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Country | US
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Telephone | 978-996-5401
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Fax | 978-363-0016
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Provider Business Mailing Address
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Address Line | 110 HAVERHILL RD STE 319
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City | AMESBURY
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State | MA
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Zip | 01913-2129
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Country | US
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Telephone | 978-996-5401
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Fax | 978-363-0016
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Authorized Official
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Title or Position | OWNER
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Name | JOHN NJUGUNA
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Credential | PMHNP-BC
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Telephone | 978-996-5401
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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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