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General NPI Number Information
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NPI Number | 1316962269
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1127 WILSHIRE BLVD STE 1415
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City | LOS ANGELES
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State | CA
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Zip | 90017-4005
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Country | US
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Telephone | 310-370-9615
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Fax | 310-370-9617
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Provider Business Mailing Address
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Address Line | 3835-R E THOUSAND OAKS BLVD STE 325
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-6622
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Country | US
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Telephone | 310-370-9615
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. SAMUEL PENNY SMITH
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Credential | M.D.
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Telephone | 310-370-9715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | A41530A
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | A41530A
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License Number State | CA
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