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General NPI Number Information
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NPI Number | 1740766575
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Entity Type | Organization
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Legal Business Name | NEW HOPE BEHAVIORAL HEALTH, NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 07/15/2018
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Provider Practice Location Address
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Address Line | 275 ROUTE 304 STE 200
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City | BARDONIA
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State | NY
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Zip | 10954-2049
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Country | US
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Telephone | 845-507-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 620 PELHAM RD APT 2C
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City | NEW ROCHELLE
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State | NY
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Zip | 10805-1435
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Country | US
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Telephone | 646-322-0354
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CARL ANKRAH
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Credential | NP
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Telephone | 646-322-0354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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