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General NPI Number Information
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NPI Number | 1235684150
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 08/20/2016
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Last Update Date | 08/20/2016
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Provider Practice Location Address
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Address Line | 2405 TONOKA RD
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City | RICHMOND
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State | VA
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Zip | 23223-1754
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Country | US
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Telephone | 804-721-7866
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 TONOKA RD
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City | RICHMOND
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State | VA
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Zip | 23223-1754
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Country | US
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Telephone | 804-721-7866
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MRS. ADRIENNE HOLLAND JENNINGS
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Credential | M.ED.
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Telephone | 804-721-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 2593
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License Number State | VA
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