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General NPI Number Information
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NPI Number | 1407668007
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Entity Type | Organization
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Legal Business Name | NEW AMSTERDAM WELLNESS COMPANY, LLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2207 CENTRAL AVE SUITE A
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City | MIDDLETOWN
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State | OH
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Zip | 45044-4603
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Country | US
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Telephone | 513-299-3387
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Fax | 513-536-6929
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Provider Business Mailing Address
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Address Line | 2207 CENTRAL AVE SUITE A
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City | MIDDLETOWN
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State | OH
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Zip | 45044-4603
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Country | US
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Telephone | 513-299-3387
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Fax | 513-536-6929
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JAMES CHAN
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Credential | M.D.
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Telephone | 614-787-1392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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