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General NPI Number Information
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NPI Number | 1588094205
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Entity Type | Organization
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Legal Business Name | INTERGRATED HEALTHCARE CONSULTANTS,INC
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 8701 W CHESTER PIKE
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City | UPPER DARBY
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State | PA
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Zip | 19082-1236
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Country | US
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Telephone | 484-454-3905
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Fax | 484-454-3907
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Provider Business Mailing Address
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Address Line | 12921 VICAR WOODS LN
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City | BOWIE
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State | MD
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Zip | 20720-4784
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Country | US
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Telephone | 240-461-3931
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Fax | 240-266-4321
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | DR. VALENTINE NINTAI NUNYI
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Credential | PHARM.D
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Telephone | 240-461-3931
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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 |
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License Number State | VA
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