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General NPI Number Information
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NPI Number | 1134067416
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Entity Type | Organization
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Legal Business Name | NEW TERRAIN ADDICTION & RECOVERY LLC JESSE A CROSBY SOLE MBR
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 315 MAIN ST S STE 301
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City | MINOT
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State | ND
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Zip | 58701-3956
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Country | US
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Telephone | 701-335-8969
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MAIN ST S STE 301
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City | MINOT
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State | ND
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Zip | 58701-3956
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Country | US
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Telephone | 701-335-8969
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Fax |
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Authorized Official
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Title or Position | CLINICAL ADDICTION COUNSELOR
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Name | MR. JESSE CROSBY
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Credential | LCAC
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Telephone | 701-578-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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