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General NPI Number Information
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NPI Number | 1245531706
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS FAMILY CENTER
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 880 ASYLUM AVE
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City | HARTFORD
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State | CT
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Zip | 06105-1902
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Country | US
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Telephone | 860-244-2181
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Fax | 860-548-1608
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Provider Business Mailing Address
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Address Line | 880 ASYLUM AVE
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City | HARTFORD
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State | CT
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Zip | 06105-1902
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Country | US
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Telephone | 860-244-2181
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Fax | 860-548-1608
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BEVERLY ELAINE COKER
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Credential | PH.D
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Telephone | 860-244-2181
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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 | 001301
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 001301
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License Number State | CT
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