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General NPI Number Information
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NPI Number | 1285810432
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 08/17/2008
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Provider Practice Location Address
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Address Line | 729 W CENTER CIR SUITE 103
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City | NIXA
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State | MO
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Zip | 65714-7001
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Country | US
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Telephone | 417-724-0700
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Fax | 417-724-0710
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Provider Business Mailing Address
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Address Line | 729 W CENTER CIR SUITE 103
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City | NIXA
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State | MO
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Zip | 65714-7001
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Country | US
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Telephone | 417-724-0700
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Fax | 417-724-0710
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. KRISTINA DAWN BURTON
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Credential | MSW, PSY.D.
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Telephone | 417-724-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 2006029922
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2004005435
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2002020631
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2002030467
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2008009366
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License Number State | MO
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