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General NPI Number Information
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NPI Number | 1184073645
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Entity Type | Organization
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Legal Business Name | NEW BEGININGS LLC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 2732 N 22ND ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132-2601
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Country | US
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Telephone | 215-570-6826
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Fax | 215-277-7227
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Provider Business Mailing Address
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Address Line | 1921 HUMPHREY MERRY WAY B
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City | ELKINS PARK
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State | PA
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Zip | 19027-1014
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Country | US
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Telephone | 215-570-6826
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Fax | 215-277-7227
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Authorized Official
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Title or Position | OWNER
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Name | MS. KHADIJAH H HAMIDULLAH
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Credential |
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Telephone | 215-570-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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