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General NPI Number Information
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NPI Number | 1225504368
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Entity Type | Organization
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Legal Business Name | NEW FOCUS ADDICTION AND BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 45 EAGLE OVERLOOK DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-6665
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Country | US
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Telephone | 706-867-0006
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Fax | 706-864-0060
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Provider Business Mailing Address
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Address Line | 45 EAGLE OVERLOOK DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-6665
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Country | US
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Telephone | 706-867-0006
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Fax | 706-864-0060
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | LEE ANN LIGON
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Credential | RN
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Telephone | 949-456-2473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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