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General NPI Number Information
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NPI Number | 1689558892
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Entity Type | Organization
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Legal Business Name | NOVALUX PSYCHIATRY PC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 814 ENTRENCHMENT RIDGE CT
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City | KENNESAW
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State | GA
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Zip | 30152-4902
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Country | US
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Telephone | 919-884-0698
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Fax |
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Provider Business Mailing Address
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Address Line | 814 ENTRENCHMENT RIDGE CT
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City | KENNESAW
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State | GA
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Zip | 30152-4902
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Country | US
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Telephone | 919-884-0698
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Fax |
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Authorized Official
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Title or Position | CEO, PSYCHIATRIST
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Name | DR. SOCHIMA ISIOMA OCHIJE
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Credential | MD
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Telephone | 919-884-0698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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