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General NPI Number Information
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NPI Number | 1265720163
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Entity Type | Organization
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Legal Business Name | NEWINGTON BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 1268 MAIN ST SUITE 107
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City | NEWINGTON
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State | CT
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Zip | 06111-3038
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Country | US
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Telephone | 860-667-3965
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Fax | 866-514-0409
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Provider Business Mailing Address
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Address Line | 93 ROCKLEDGE DR
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City | NEWINGTON
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State | CT
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Zip | 06111-5152
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Country | US
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Telephone | 203-887-5950
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Fax | 866-514-0409
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. GABRIEL O ARIMORO
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Credential | M.D
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Telephone | 203-887-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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