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General NPI Number Information
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NPI Number | 1699630541
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Entity Type | Organization
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Legal Business Name | CARE CIRCLE NURSE PRACTITIONER IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 9043 SPRINGFIELD BLVD
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City | JAMAICA
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State | NY
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Zip | 11428-1352
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Country | US
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Telephone | 516-776-9081
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Fax | 646-594-1399
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Provider Business Mailing Address
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Address Line | 9043 SPRINGFIELD BLVD
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City | JAMAICA
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State | NY
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Zip | 11428-1352
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Country | US
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Telephone | 516-776-9081
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Fax | 646-594-1399
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Authorized Official
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Title or Position | OWNER
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Name | NGOZI OZULUMBA
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Credential |
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Telephone | 516-776-9081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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