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General NPI Number Information
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NPI Number | 1770967226
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Entity Type | Organization
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Legal Business Name | NEWHORIZON CENTER LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 555 W CROSSTOWN PKWY SUITE 201
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City | KALAMAZOO
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State | MI
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Zip | 49008-1999
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Country | US
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Telephone | 269-775-1064
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Fax |
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Provider Business Mailing Address
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Address Line | 1379 S VILLAGE CIR
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City | KALAMAZOO
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State | MI
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Zip | 49009-6117
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Country | US
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Telephone | 269-775-1064
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN AND OWNER
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Name | DR. AHED ZAYZAFOON
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Credential | M.D.
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Telephone | 269-775-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 4301095729
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License Number State | MI
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