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General NPI Number Information
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NPI Number | 1578429726
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Entity Type | Organization
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Legal Business Name | EBI HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 103 ROUTE 70 E STE 2
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City | MARLTON
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State | NJ
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Zip | 08053-1890
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Country | US
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Telephone | 856-796-3303
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Fax | 866-993-2928
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Provider Business Mailing Address
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Address Line | 145 FREEDOM WAY
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5725
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Country | US
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Telephone | 856-796-3303
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Fax | 866-993-2928
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Authorized Official
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Title or Position | OWNER
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Name | UZOMA EBISIKE
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Credential |
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Telephone | 856-796-3303
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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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