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General NPI Number Information
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NPI Number | 1629985726
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Entity Type | Organization
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Legal Business Name | BLESSED HANDS, MIND & BODY HEALTHCARE
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 315 S DELSEA DR APT K8
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City | CLAYTON
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State | NJ
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Zip | 08312-2239
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Country | US
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Telephone | 856-392-3985
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Fax | 650-263-7272
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Provider Business Mailing Address
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Address Line | 315 S DELSEA DR APT K8
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City | CLAYTON
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State | NJ
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Zip | 08312-2239
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Country | US
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Telephone | 856-392-3985
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Fax | 650-263-7272
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Authorized Official
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Title or Position | OWNER & PROVDIER
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Name | LEONA SERETHA ALLEN
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Credential |
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Telephone | 856-265-1591
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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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