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General NPI Number Information
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NPI Number | 1003008541
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Entity Type | Organization
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Legal Business Name | C'S NEW BEGINNINGS
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 1240 TELLURIDE CIR
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City | LEXINGTON
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State | KY
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Zip | 40509-2394
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Country | US
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Telephone | 859-264-0646
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Fax | 859-264-7160
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Provider Business Mailing Address
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Address Line | 1240 TELLURIDE CIR
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City | LEXINGTON
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State | KY
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Zip | 40509-2394
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Country | US
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Telephone | 859-264-0646
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Fax | 859-264-7160
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Authorized Official
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Title or Position | ADMINISTRATOR/MANAGER
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Name | MS. VINNIE JOYCE MATHEWS
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Credential |
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Telephone | 859-264-0646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | KY
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