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NPI 1194741835

NPI 1194741835 : NEW BEGINNINGS PSYCHOLOGICAL RESOURCES, LLC : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1194741835
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW BEGINNINGS PSYCHOLOGICAL RESOURCES, LLC 
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Dates
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    Enumeration Date     |    07/14/2006
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    Last Update Date     |    11/19/2024
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Provider Practice Location Address
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    Address Line         |    17699 E HAMPDEN AVE 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80013-5214
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    Country              |    US
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    Telephone            |    303-777-5536
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    Fax                  |    720-828-6868
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Provider Business Mailing Address
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    Address Line         |    PO BOX 440763 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80044-0763
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    Country              |    US
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    Telephone            |    303-777-5536
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    Fax                  |    720-828-6868
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. NOELLE  FELLMAN 
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    Credential           |    PSY.D.
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    Telephone            |    303-777-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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