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General NPI Number Information
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NPI Number | 1104078872
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Entity Type | Organization
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Legal Business Name | NEW HORIZON FAMILY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 130 MALLARD ST
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City | GREENVILLE
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State | SC
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Zip | 29601-4046
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Country | US
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Telephone | 864-729-8330
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Fax | 855-425-5034
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | GREENVILLE
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State | SC
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Zip | 29602-0287
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Country | US
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Telephone | 864-729-8330
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Fax | 864-233-2618
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | J BRANDON GAFFNEY
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Credential |
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Telephone | 864-729-8330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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