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General NPI Number Information
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NPI Number | 1154067080
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS RECOVERY HOMES INCORPORATED
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 5718 S GREEN ST
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City | CHICAGO
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State | IL
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Zip | 60621-2228
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Country | US
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Telephone | 407-324-5063
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Fax |
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Provider Business Mailing Address
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Address Line | 212 W 111TH PL
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City | CHICAGO
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State | IL
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Zip | 60628-4219
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Country | US
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Telephone | 407-324-5063
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | JOSEPH WILLIAMS
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Credential |
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Telephone | 407-324-4063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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