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General NPI Number Information
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NPI Number | 1467361360
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Entity Type | Organization
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Legal Business Name | CENTURION MENTAL AND BEHAVIORAL SERVICES PLLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 2910 BROADWAY BLVD STE 10
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City | GARLAND
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State | TX
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Zip | 75041-3764
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Country | US
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Telephone | 817-350-1012
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 BROADWAY BLVD STE 10
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City | GARLAND
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State | TX
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Zip | 75041-3764
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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 | OWNER
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Name | NIMOTA YETUNDE RAJI
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Credential |
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Telephone | 214-432-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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