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NPI 1538951926

NPI 1538951926 : ALPHA PSYCHIATRIC ASSOCIATES LLC : STRATFORD, NJ

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General NPI Number Information
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    NPI Number           |    1538951926
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPHA PSYCHIATRIC ASSOCIATES LLC 
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Dates
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    Enumeration Date     |    05/21/2025
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    217 E LAUREL RD 
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    City                 |    STRATFORD
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    State                |    NJ
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    Zip                  |    08084-1301
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    Country              |    US
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    Telephone            |    856-258-4144
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    Fax                  |    856-258-4166
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Provider Business Mailing Address
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    Address Line         |    217 E LAUREL RD 
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    City                 |    STRATFORD
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    State                |    NJ
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    Zip                  |    08084-1301
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    Country              |    US
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    Telephone            |    856-258-4144
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    Fax                  |    856-258-4166
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. RAYMOND  NWANERI 
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    Credential           |    
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    Telephone            |    267-210-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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