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General NPI Number Information
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NPI Number | 1568385532
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Entity Type | Organization
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Legal Business Name | NEW JOURNAL PSYCHIATRY LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3838 OAK LAWN AVE STE 1000
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City | DALLAS
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State | TX
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Zip | 75219-4511
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Country | US
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Telephone | 302-590-0144
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Fax |
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Provider Business Mailing Address
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Address Line | 2624 KELLOGG AVE
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City | DALLAS
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State | TX
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Zip | 75216-2650
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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 | CEO & OWNER
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Name | CENTREA HOLTON
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Credential |
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Telephone | 302-590-0144
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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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