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General NPI Number Information
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NPI Number | 1023353307
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Entity Type | Organization
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Legal Business Name | THE NEW YOU ACADEMY, LLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 26323 JEFFERSON AVE SUITE E106
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City | MURRIETA
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State | CA
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Zip | 92562-9514
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Country | US
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Telephone | 951-297-3525
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Fax | 951-326-3570
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Provider Business Mailing Address
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Address Line | 26323 JEFFERSON AVE SUITE E106
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City | MURRIETA
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State | CA
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Zip | 92562-9514
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Country | US
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Telephone | 951-297-3525
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Fax | 951-326-3570
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. TIMOTHY PATRICK BECK
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Credential | CHT
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Telephone | 951-297-3525
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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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