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General NPI Number Information
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NPI Number | 1982541710
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Entity Type | Organization
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Legal Business Name | GREEN MONARCH HEALTH PRACTICE, INC.
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 315 1ST AVE NW STE 201 UNIT 210
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City | HICKORY
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State | NC
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Zip | 28601-6169
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Country | US
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Telephone | 980-506-7585
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Fax | 949-844-2015
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Provider Business Mailing Address
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Address Line | 4431 JIM BEARD RD
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City | MAIDEN
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State | NC
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Zip | 28650-8586
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Country | US
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Telephone | 828-748-2875
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Fax | 949-844-2015
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Authorized Official
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Title or Position | PROVIDER
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Name | KENNETH ALLAN LEVESQUE
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Credential | PMHNP-BC
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Telephone | 980-506-7585
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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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