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General NPI Number Information
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NPI Number | 1750176418
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Entity Type | Organization
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Legal Business Name | LUCID MIND CARE NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1218 CENTRAL AVE STE 100
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City | ALBANY
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State | NY
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Zip | 12205-5329
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Country | US
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Telephone | 347-921-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 CENTRAL AVE STE 100
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City | ALBANY
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State | NY
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Zip | 12205-5329
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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 | PSYCHIATRIC NURSE PRACTITIONER
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Name | REMMY PETERSON
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Credential | DNP, PMHNP-BC
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Telephone | 917-232-5491
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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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