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General NPI Number Information
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NPI Number | 1114660412
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS COUNSELING AND EDUCATIONAL SERVICES
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 324 E 2ND ST
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City | MOUNDRIDGE
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State | KS
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Zip | 67107-7164
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Country | US
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Telephone | 620-387-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 324 E 2ND ST
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City | MOUNDRIDGE
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State | KS
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Zip | 67107-7164
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Country | US
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Telephone | 620-387-6339
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JEANELLE HERREL
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Credential |
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Telephone | 620-387-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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