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General NPI Number Information
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NPI Number | 1801414602
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Entity Type | Organization
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Legal Business Name | GEORGINA TWUMASI MENTAL HEALTH LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 1001 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-3990
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Country | US
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Telephone | 860-288-2177
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1105
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-7105
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Country | US
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Telephone | 860-288-2177
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MRS. GEORGINA TWUMASI
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Credential | PMHNP
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Telephone | 860-288-2177
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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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