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General NPI Number Information
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NPI Number | 1891003737
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Entity Type | Organization
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Legal Business Name | NEW CONCEPTS II LLC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 2868 COMPTON RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45251-2634
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Country | US
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Telephone | 513-712-8182
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Fax | 513-880-0606
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Provider Business Mailing Address
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Address Line | 2868 COMPTON RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45251-2634
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Country | US
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Telephone | 513-712-8182
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANECIA LYNN KENNEDY
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Credential | NP
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Telephone | 513-607-5524
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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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