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General NPI Number Information
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NPI Number | 1790657302
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Entity Type | Organization
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Legal Business Name | TELEMENTAL HEALTH AND ADDICTION LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 10 FOX CT
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City | HOLBROOK
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State | NY
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Zip | 11741-5300
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Country | US
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Telephone | 631-703-0303
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Fax | 989-256-0415
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Provider Business Mailing Address
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Address Line | 10 FOX CT
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City | HOLBROOK
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State | NY
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Zip | 11741-5300
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Country | US
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Telephone | 631-703-0303
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Fax | 989-256-0415
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Authorized Official
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Title or Position | PMHNP-BC, OWNER
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Name | JAMES VALINOTI
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Credential | PMHNP-BC
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Telephone | 631-703-0303
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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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