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General NPI Number Information
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NPI Number | 1083294078
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Entity Type | Organization
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Legal Business Name | ALN PSYCH AND BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 6100 CHANNINGWAY BLVD STE 508
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City | COLUMBUS
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State | OH
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Zip | 43232-2910
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Country | US
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Telephone | 614-812-0415
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Fax | 614-812-0432
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Provider Business Mailing Address
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Address Line | 1649 BRICE RD STE A
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-2796
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Country | US
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Telephone | 614-812-0415
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Fax | 614-812-0432
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Authorized Official
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Title or Position | PMHNP-BC
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Name | BEBONGCHU NKEMASONG
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Credential |
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Telephone | 614-772-3476
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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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