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General NPI Number Information
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NPI Number | 1801553243
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Entity Type | Organization
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Legal Business Name | ANGELA DAVIS, RN, MSN, PMHNP-BC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 10 SUNFLOWER CIR
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City | LUMBERTON
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State | NJ
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Zip | 08048-4862
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Country | US
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Telephone | 856-304-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 208 WHITE HORSE PIKE STE 8
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City | BARRINGTON
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State | NJ
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Zip | 08007-1322
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Country | US
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Telephone | 856-304-1400
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. ANGELA DAVIS
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Credential | PMHNP-BC
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Telephone | 856-304-1400
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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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