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General NPI Number Information
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NPI Number | 1245443399
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Entity Type | Organization
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Legal Business Name | NEW CONNECTIONS BEHAVIORAL HEALTH SERVIVES
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 MUIR RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4601
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Country | US
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Telephone | 925-313-7964
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Fax | 925-313-1810
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Provider Business Mailing Address
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Address Line | 30 MUIR RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4601
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Country | US
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Telephone | 925-313-7964
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Fax | 925-313-1810
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Authorized Official
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Title or Position | CALWORKS LIAISON
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Name | MARY NIXON MCCLENDON
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Credential |
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Telephone | 925-313-7964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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