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NPI 1073931267

NPI 1073931267 : NEW BEGINNING CASE MANAGEMENT AGENCY LLC : HIALEAH, FL

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General NPI Number Information
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    NPI Number           |    1073931267
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW BEGINNING CASE MANAGEMENT AGENCY LLC 
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Dates
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    Enumeration Date     |    04/03/2014
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    Last Update Date     |    10/31/2022
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Provider Practice Location Address
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    Address Line         |    8001 W 26TH AVE UNIT 2 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-2753
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    Country              |    US
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    Telephone            |    786-360-2630
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    Fax                  |    786-502-3979
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Provider Business Mailing Address
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    Address Line         |    8001 W 26TH AVE UNIT 2 
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    City                 |    HIALEAH
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    State                |    FL
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    Zip                  |    33016-2753
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    Country              |    US
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    Telephone            |    786-360-2630
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    Fax                  |    786-502-3979
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Authorized Official
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    Title or Position    |    OWNER, MANAGER
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    Name                 |     GILDA  SOSA 
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    Credential           |    
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    Telephone            |    786-360-2630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    AHCA APPROVED
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    License Number State |    FL
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Taxonomy #2
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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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