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General NPI Number Information
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NPI Number | 1093043697
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Entity Type | Organization
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Legal Business Name | NEW ROADS TREATMENT CENTERS
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 1365 SOUTH 1250 WEST SUITE 101
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City | OREM
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State | UT
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Zip | 84058
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Country | US
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Telephone | 801-669-5888
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Fax | 801-669-5889
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Provider Business Mailing Address
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Address Line | 1365 SOUTH 1250 WEST SUITE 101
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City | OREM
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State | UT
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Zip | 84058
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Country | US
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Telephone | 801-669-5888
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Fax | 801-669-5889
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Authorized Official
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Title or Position | CEO
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Name | ERIC SCHMIDT
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Credential | LCSW
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Telephone | 801-910-9329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 4925186-3501
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License Number State | UT
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