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General NPI Number Information
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NPI Number | 1154286623
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Entity Type | Organization
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Legal Business Name | NEWLEAF BEHAVIORAL HEALTH PARTNERS
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 64 PARKVIEW DR
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City | AVON
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State | CT
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Zip | 06001-3453
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Country | US
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Telephone | 203-214-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 64 PARKVIEW DR
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City | AVON
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State | CT
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Zip | 06001-3453
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Country | US
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Telephone | 203-214-5586
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CHINEDU IBEMADU
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Credential | APRN
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Telephone | 203-214-5586
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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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