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General NPI Number Information
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NPI Number | 1811849581
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Entity Type | Organization
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Legal Business Name | PROFICIENT MIND AND WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 523 CAPITOL TRL STE B
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City | NEWARK
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State | DE
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Zip | 19711-3859
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Country | US
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Telephone | 302-467-2646
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Fax | 302-467-2857
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Provider Business Mailing Address
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Address Line | 523 CAPITOL TRL STE B
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City | NEWARK
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State | DE
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Zip | 19711-3859
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Country | US
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Telephone | 302-467-2646
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Fax | 302-467-2857
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Authorized Official
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Title or Position | OWNER
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Name | OLATOKUNBO GBADEBO
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Credential | FNP PMHNP-BC
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Telephone | 302-467-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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