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General NPI Number Information
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NPI Number | 1801687850
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Entity Type | Individual
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Provider Name | STELLA ABIEDU ABAABA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2 N CENTRAL AVE FL 18
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City | PHOENIX
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State | AZ
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Zip | 85004-2322
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Country | US
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Telephone | 424-731-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 10008 RANDALLSTOWN LN
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1492
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Country | US
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Telephone | 424-731-3115
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ARNP.AP.70019039-NP
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 323625
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License Number State | AZ
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