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General NPI Number Information
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NPI Number | 1225373475
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 420 S WAVERLY RD STE 4
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City | LANSING
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State | MI
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Zip | 48917-3632
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Country | US
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Telephone | 517-708-8215
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Fax | 517-708-8223
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Provider Business Mailing Address
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Address Line | 420 S WAVERLY RD STE 4
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City | LANSING
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State | MI
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Zip | 48917-3632
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Country | US
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Telephone | 517-708-8215
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Fax | 517-708-8223
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. KATHY SAMIR CHEBLI
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Credential | LMSW
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Telephone | 517-708-8215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801085790
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License Number State | MI
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