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General NPI Number Information
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NPI Number | 1336484609
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS AND ENDINGS LLC
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 11201 RICHMOND AVE SUITE A100A
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City | HOUSTON
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State | TX
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Zip | 77082-6653
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Country | US
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Telephone | 281-282-7031
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 RICHMOND AVE SUITE A100A
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City | HOUSTON
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State | TX
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Zip | 77082-6653
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Country | US
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Telephone | 281-282-7031
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS MELODY VALENCEA CLARKE
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Credential | LPC
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Telephone | 281-282-7031
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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 | 19290
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License Number State | TX
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