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General NPI Number Information
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NPI Number | 1265667174
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS MENTAL HEALTH
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 550 N LINCOLN AVE APT 409
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City | LOVELAND
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State | CO
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Zip | 80537-5592
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Country | US
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Telephone | 970-776-9148
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Fax | 970-776-9148
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Provider Business Mailing Address
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Address Line | 550 N LINCOLN AVE APT 409
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City | LOVELAND
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State | CO
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Zip | 80537-5592
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Country | US
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Telephone | 970-776-9148
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Fax | 970-776-9148
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. BRUCE SUMMERHILL
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Credential |
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Telephone | 970-663-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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