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General NPI Number Information
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NPI Number | 1407683220
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Entity Type | Organization
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Legal Business Name | K&G HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 100 HORIZON CENTER BLVD
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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Country | US
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Telephone | 973-444-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HORIZON CENTER BLVD
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City | HAMILTON
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State | NJ
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Zip | 08691-1910
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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 | PSYCHIATRIC NURSE PRACTITIONER
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Name | DR. KARENTON MORDI
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Credential | DNP,PMHNP, ARNP
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Telephone | 973-444-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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