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General NPI Number Information
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NPI Number | 1790696615
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH MANAGEMENT
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 323 N STATE ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-5118
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Country | US
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Telephone | 580-214-1025
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Fax |
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Provider Business Mailing Address
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Address Line | 323 N STATE ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-5118
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Country | US
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Telephone | 580-214-1025
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEVERLY AIELLO
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Credential | PMHNP
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Telephone | 580-214-1025
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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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