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General NPI Number Information
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NPI Number | 1053964841
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Entity Type | Organization
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Legal Business Name | NEW LIFE LL TEACHING YOU ANOTHER WAY MINISTRIES
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Dates
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Enumeration Date | 07/20/2019
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Last Update Date | 07/20/2019
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Provider Practice Location Address
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Address Line | 49 UNION ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-1905
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Country | US
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Telephone | 860-371-8287
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1332
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City | NEW BRITAIN
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State | CT
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Zip | 06050-1332
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Country | US
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Telephone | 860-371-8287
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MRS. EVELYN SMITH
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Credential |
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Telephone | 860-371-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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