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General NPI Number Information
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NPI Number | 1083071682
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 7235 BONNEVAL RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7565
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Country | US
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Telephone | 336-391-7393
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Fax |
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Provider Business Mailing Address
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Address Line | 1348 WESTGATE CENTER DR STE B1
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2984
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Country | US
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Telephone | 336-391-7393
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SHANDRA CROMARTIE
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Credential |
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Telephone | 336-391-7393
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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