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General NPI Number Information
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NPI Number | 1861597148
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS PSYCHIATRIC COUNSELING AND PAIN MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 4735 BELPAR ST NW
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City | CANTON
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State | OH
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Zip | 44718-3648
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Country | US
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Telephone | 330-493-9822
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Fax | 330-493-9816
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Provider Business Mailing Address
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Address Line | 4735 BELPAR ST NW
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City | CANTON
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State | OH
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Zip | 44718-3648
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Country | US
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Telephone | 330-493-9822
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Fax | 330-493-9816
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Authorized Official
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Title or Position | PRESIDENT
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Name | IKEMEFUNA NKANGINIEME
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Credential | MD
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Telephone | 330-493-9822
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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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