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General NPI Number Information
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NPI Number | 1013797364
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS ADULT MENTAL HEALTH
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 429 ELK RUN DR
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City | FORT WORTH
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State | TX
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Zip | 76140-6564
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Country | US
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Telephone | 682-227-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 429 ELK RUN DR
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City | FORT WORTH
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State | TX
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Zip | 76140-6564
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Country | US
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Telephone | 682-227-0600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BROOKLYN TYLER PAUL
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Credential |
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Telephone | 682-227-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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Taxonomy #4
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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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