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General NPI Number Information
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NPI Number | 1801602776
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Entity Type | Organization
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Legal Business Name | EMPOWER CARE NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2294 2ND AVE
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City | NEW YORK
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State | NY
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Zip | 10035-4869
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Country | US
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Telephone | 201-496-1442
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Fax |
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Provider Business Mailing Address
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Address Line | 121 GRANT AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07305-3512
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Country | US
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Telephone | 201-993-3110
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STELLA OKAH
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Credential |
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Telephone | 201-993-3110
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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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