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General NPI Number Information
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NPI Number | 1235703158
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/15/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 4888 NW 183RD ST STE 110
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2940
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Country | US
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Telephone | 786-202-5536
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Fax |
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Provider Business Mailing Address
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Address Line | 4888 NW 183RD ST STE 110
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2940
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Country | US
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Telephone | 786-202-5536
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN R FUNDORA MORALES
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Credential |
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Telephone | 786-202-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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