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General NPI Number Information
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NPI Number | 1427860915
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Entity Type | Organization
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Legal Business Name | NEW BRIDGE PSYCHIATRY
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 6165 NW 86TH ST STE 224
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City | JOHNSTON
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State | IA
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Zip | 50131-2270
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Country | US
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Telephone | 515-344-3267
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Fax |
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Provider Business Mailing Address
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Address Line | 6165 NW 86TH ST STE 224
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City | JOHNSTON
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State | IA
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Zip | 50131-2270
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Country | US
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Telephone | 515-344-3267
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. SHEHZAD KAMRAN
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Credential | MD
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Telephone | 515-710-2611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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