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General NPI Number Information
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NPI Number | 1225688245
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Entity Type | Organization
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Legal Business Name | LIFE'S NEW CHAPTER'S, LLC
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 4143 W MAIN ST
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City | ARTESIA
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State | NM
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Zip | 88210-9532
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Country | US
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Telephone | 575-513-7051
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Fax |
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Provider Business Mailing Address
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Address Line | 4143 W MAIN ST
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City | ARTESIA
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State | NM
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Zip | 88210-9532
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Country | US
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Telephone | 505-504-6074
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Fax |
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Authorized Official
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Title or Position | CORPORATE OFFICER
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Name | MISS TAMARA LETCHER
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Credential | LCSW
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Telephone | 575-513-7051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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