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General NPI Number Information
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NPI Number | 1316384605
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Entity Type | Organization
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Legal Business Name | NEW DAY -TEXAS NEW DAY RECOVERY YOUTH & FAMILY SVCS
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 8453 TOWNESHIP LN
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City | DALLAS
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State | TX
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Zip | 75243-8040
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Country | US
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Telephone | 405-623-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 8453 TOWNESHIP LN
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City | DALLAS
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State | TX
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Zip | 75243-8040
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Country | US
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Telephone | 405-623-1117
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSELINE NSIKAK
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Credential |
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Telephone | 405-623-1117
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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 |
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License Number State | TX
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