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NPI 1932390788

NPI 1932390788 : GLORIA ADJEI MSN, PMHNP-BC, APRN : GEORGETOWN, OH

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General NPI Number Information
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    NPI Number           |    1932390788
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    Entity Type          |    Individual 
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    Provider Name        |    GLORIA ADJEI MSN, PMHNP-BC, APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/07/2007
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    Last Update Date     |    05/02/2022
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Provider Practice Location Address
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    Address Line         |    425 HOME ST 
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    City                 |    GEORGETOWN
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    State                |    OH
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    Zip                  |    45121-1407
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    Country              |    US
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    Telephone            |    937-483-4933
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    425 HOME ST 
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    City                 |    GEORGETOWN
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    State                |    OH
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    Zip                  |    45121-1407
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    Country              |    US
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    Telephone            |    513-205-8381
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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       |    APRN.CNP.0030000
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    License Number State |    OH
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