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General NPI Number Information
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NPI Number | 1275839169
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS COUNSELING CENTER PLLC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 9844 DIXIE HWY
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City | IRA
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State | MI
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Zip | 48023-2813
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Country | US
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Telephone | 586-716-7600
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Fax | 586-716-7659
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Provider Business Mailing Address
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Address Line | 9844 DIXIE HWY
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City | FAIR HAVEN
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State | MI
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Zip | 48023
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Country | US
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Telephone | 586-716-7600
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Fax | 586-716-7659
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JULIE SHER
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Credential | DO
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Telephone | 586-716-7600
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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 | 5101013579
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License Number State | MI
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