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General NPI Number Information
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NPI Number | 1043691025
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Entity Type | Organization
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Legal Business Name | NEW DAY INSTITUTE
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 6391 MAGNOLIA AVE SUITE A
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City | RIVERSIDE
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State | CA
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Zip | 92506-2424
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Country | US
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Telephone | 951-774-0854
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Fax | 951-774-0853
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Provider Business Mailing Address
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Address Line | 11780 CENTRAL AVE SUITE 100
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City | CHINO
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State | CA
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Zip | 91710-6498
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Country | US
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Telephone | 909-517-2020
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Fax | 909-517-2022
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YASER SELIM
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Credential | MFT
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Telephone | 909-517-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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