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General NPI Number Information
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NPI Number | 1407761943
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Entity Type | Organization
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Legal Business Name | MIND MENDED
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 2204 MORRIS AVE STE 211
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City | UNION
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State | NJ
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Zip | 07083-5914
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Country | US
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Telephone | 908-265-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 DEWITT TER
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City | LINDEN
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State | NJ
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Zip | 07036-4803
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Country | US
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Telephone | 732-596-7364
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Fax | 908-223-8516
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTIONER
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Name | VIVIANE VINOU-LEVY
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Credential | PMHNP
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Telephone | 908-265-0407
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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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