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General NPI Number Information
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NPI Number | 1154974871
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Entity Type | Organization
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Legal Business Name | NEW PARADIGM RECOVERY LLC
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 8150 LEESBURG PIKE STE 740
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City | VIENNA
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State | VA
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Zip | 22182-7700
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Country | US
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Telephone | 703-214-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 LEESBURG PIKE STE 740
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City | VIENNA
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State | VA
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Zip | 22182-7700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE FORRESTER
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Credential |
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Telephone | 973-740-0023
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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 |
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License Number State |
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