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General NPI Number Information
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NPI Number | 1659141273
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Entity Type | Individual
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Provider Name | OBINNA ANYANWU PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 33 NEWTON SPARTA RD STE 3
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City | NEWTON
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State | NJ
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Zip | 07860-2764
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Country | US
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Telephone | 833-494-6724
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Fax |
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Provider Business Mailing Address
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Address Line | 100 ENTERPRISE DR STE 301
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City | ROCKAWAY
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State | NJ
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Zip | 07866-2129
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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 |
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Name |
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Credential |
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Telephone |
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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 | 26NJ14983500
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License Number State | NJ
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