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General NPI Number Information
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NPI Number | 1760336515
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Entity Type | Organization
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Legal Business Name | IMANI BEHAVIORAL HEALTH SERVICES, INC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 26-28 WEST STREET, SUITE 109
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City | BEVERLY
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State | MA
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Zip | 01915
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Country | US
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Telephone | 978-773-5648
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Fax | 978-955-2644
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Provider Business Mailing Address
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Address Line | 26-28 WEST STREET SUITE 109
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City | BEVERLY
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State | MA
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Zip | 01915
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Country | US
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Telephone | 978-773-5648
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Fax | 978-955-2644
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Authorized Official
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Title or Position | DIRECTOR
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Name | KALUBI FLORENCE MUGANGUZI
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Credential |
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Telephone | 978-773-5648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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