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General NPI Number Information
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NPI Number | 1568329365
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Entity Type | Organization
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Legal Business Name | ACUMEN HEALTH LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 913 MANOR DR NE
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City | SPRING LAKE PARK
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State | MN
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Zip | 55432-1271
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Country | US
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Telephone | 240-379-9301
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Fax | 507-445-6983
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Provider Business Mailing Address
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Address Line | 913 MANOR DR NE
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City | SPRING LAKE PARK
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State | MN
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Zip | 55432-1271
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Country | US
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Telephone | 240-379-9301
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Fax | 507-445-6983
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RAPHAEL OMOTO
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Credential | DNP, CNP, PMHNP
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Telephone | 240-479-9301
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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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