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NPI 1336571587

NPI 1336571587 : NEUROBEHAVIORAL MEDICINE CONSULTANTS, PC, INC. : BELLAIRE, OH

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General NPI Number Information
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    NPI Number           |    1336571587
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROBEHAVIORAL MEDICINE CONSULTANTS, PC, INC. 
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Dates
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    Enumeration Date     |    07/30/2013
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    Last Update Date     |    09/19/2024
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Provider Practice Location Address
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    Address Line         |    4697 HARRISON ST 
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    City                 |    BELLAIRE
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    State                |    OH
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    Zip                  |    43906-1303
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    Country              |    US
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    Telephone            |    740-968-7006
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    Fax                  |    740-968-7256
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Provider Business Mailing Address
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    Address Line         |    4697 HARRISON ST 
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    City                 |    BELLAIRE
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    State                |    OH
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    Zip                  |    43906-1303
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    Country              |    US
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    Telephone            |    740-968-7006
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    Fax                  |    740-968-7256
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Authorized Official
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    Title or Position    |    COO/CFO
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    Name                 |     JOSEPH D SCHMIDT 
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    Credential           |    
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    Telephone            |    740-968-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    7501
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    License Number State |    OH
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