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General NPI Number Information
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NPI Number | 1235501198
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Entity Type | Organization
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Legal Business Name | A NEW START, INC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 1155 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33406-5114
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Country | US
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Telephone | 561-408-5102
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33406-5172
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANGER
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Name | MELISSA ABREU
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Credential |
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Telephone | 954-415-9373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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