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General NPI Number Information
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NPI Number | 1720994189
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Entity Type | Organization
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Legal Business Name | KEYSTONE NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 310 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10027-4449
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Country | US
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Telephone | 732-558-9625
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Fax | 973-548-9450
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Provider Business Mailing Address
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Address Line | 1311 ALLEN RD
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City | SOMERSET
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State | NJ
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Zip | 08873-7488
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Country | US
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Telephone | 732-558-9625
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Fax | 973-548-9450
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Authorized Official
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Title or Position | OWNER
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Name | KENECHUKWU EZEANYA
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Credential |
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Telephone | 732-558-9625
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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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