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General NPI Number Information
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NPI Number | 1891510202
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Entity Type | Organization
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Legal Business Name | PHILLIPS PSYCHIATRIC & MENTAL HEALTH LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 116 VILLAGE BLVD STE 200
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City | PRINCETON
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State | NJ
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Zip | 08540-5700
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Country | US
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Telephone | 609-285-3094
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Fax |
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Provider Business Mailing Address
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Address Line | 202 LISA PL
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-5572
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Country | US
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Telephone | 609-619-9443
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Fax |
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Authorized Official
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Title or Position | PMHNP/CEO
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Name | NANCY PHILLIPS
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Credential | PMHNP
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Telephone | 609-285-3094
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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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