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General NPI Number Information
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NPI Number | 1780552794
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Entity Type | Organization
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Legal Business Name | CAMPUS CARE COLLECTIVE LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 142 W 57TH ST FL 11
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City | NEW YORK
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State | NY
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Zip | 10019-3300
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Country | US
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Telephone | 212-477-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 343 W 58TH ST STE 11B
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City | NEW YORK
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State | NY
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Zip | 10019-1108
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Country | US
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Telephone | 212-477-5342
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Fax | 986-252-1322
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR A MENSAH
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Credential | MD
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Telephone | 212-477-5342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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