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General NPI Number Information
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NPI Number | 1902790504
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Entity Type | Organization
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Legal Business Name | HEALING STREAMS LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 177 OLD CAMDEN RD APT 2
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City | CAMDEN
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State | DE
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Zip | 19934-5500
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Country | US
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Telephone | 302-697-8024
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Fax | 302-697-8024
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Provider Business Mailing Address
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Address Line | 177 OLD CAMDEN RD APT 2
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City | CAMDEN
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State | DE
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Zip | 19934-5500
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Country | US
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Telephone | 302-697-8024
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | JANE ABIONA
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Credential |
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Telephone | 302-697-8024
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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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