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General NPI Number Information
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NPI Number | 1982708095
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Entity Type | Organization
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Legal Business Name | CEDAR MOUNT BEHAVIORAL HEALTH, PA
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4320 BLAND RD
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City | RALEIGH
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State | NC
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Zip | 27609-6125
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Country | US
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Telephone | 919-417-4322
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Fax | 919-866-1623
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Provider Business Mailing Address
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Address Line | 9650 STRICKLAND RD STE 103-432
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City | RALEIGH
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State | NC
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Zip | 27615-1902
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Country | US
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Telephone | 919-332-1641
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Fax |
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Authorized Official
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Title or Position | PRESIENT
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Name | DR. DAVID MBUGUA GACENGECI
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Credential | MD
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Telephone | 919-417-4322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200101550
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License Number State | NC
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