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General NPI Number Information
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NPI Number | 1023720893
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Entity Type | Organization
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Legal Business Name | REACHING MINDS NP IN PSYCHIATRY AND ADULT HEALTH P.C
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 319 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2042
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Country | US
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Telephone | 516-907-9243
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Fax |
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Provider Business Mailing Address
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Address Line | 319 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COE
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Name | PAUL OGHALE IGBIDE
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Credential | NP
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Telephone | 917-651-8465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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