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General NPI Number Information
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NPI Number | 1568058063
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND HEALTHY YOU LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 193 US HIGHWAY 9
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City | MANALAPAN
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State | NJ
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Zip | 07726-3015
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Country | US
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Telephone | 732-567-2205
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Fax | 732-605-5823
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Provider Business Mailing Address
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Address Line | 41 SILVERS RD
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City | FREEHOLD
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State | NJ
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Zip | 07728-7740
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Country | US
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Telephone | 732-567-2205
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Fax | 732-605-5823
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Authorized Official
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Title or Position | OWNER
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Name | PAULA TAYLOR
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Credential |
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Telephone | 732-567-2205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | 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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