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General NPI Number Information
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NPI Number | 1629912191
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Entity Type | Organization
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Legal Business Name | RAD INTEGRATIVE MINDCARE
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 1 RACE TRACK RD STE A101
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3800
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Country | US
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Telephone | 732-838-9641
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Fax | 732-455-9340
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Provider Business Mailing Address
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Address Line | 1 RACE TRACK RD STE A101
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3800
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Country | US
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Telephone | 732-838-9641
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Fax | 732-455-9340
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Authorized Official
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Title or Position | FOUNDER/PMHNP
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Name | DONETTE PRICE
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Credential | DNP APN PMHNP BC
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Telephone | 732-838-9641
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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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