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General NPI Number Information
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NPI Number | 1003516568
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS BEHAVIORAL HEALTH CARE LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/04/2023
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Provider Practice Location Address
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Address Line | 12611 N 103RD AVE
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City | SUN CITY
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State | AZ
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Zip | 85351-3422
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Country | US
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Telephone | 480-593-4643
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Fax |
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Provider Business Mailing Address
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Address Line | 20118 N 67TH AVE # 300-450
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City | GLENDALE
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State | AZ
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Zip | 85308-4621
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Country | US
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Telephone | 480-593-4643
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | GEORGIANA DOBOS
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Credential |
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Telephone | 480-593-4643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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