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General NPI Number Information
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NPI Number | 1780547117
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Entity Type | Organization
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Legal Business Name | MINDSET PSYCHIATRY
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 155 ROUTE 22 SUITE 2 #1040
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City | SPRINGFIELD
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State | NJ
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Zip | 07081
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Country | US
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Telephone | 609-892-1358
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Fax |
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Provider Business Mailing Address
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Address Line | 155 ROUTE 22 STE 2
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3109
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Country | US
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Telephone | 609-892-1358
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADEMOLA OGUNRUKU
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Credential | PMHNP
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Telephone | 609-892-1358
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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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