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General NPI Number Information
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NPI Number | 1346555182
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Entity Type | Organization
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Legal Business Name | NEW HORIZON THERAPEUTIC CARE, LLC
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/17/2010
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Provider Practice Location Address
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Address Line | 41105 W COLTIN WAY
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City | MARICOPA
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State | AZ
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Zip | 85138-6865
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Country | US
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Telephone | 480-440-2090
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Fax | 480-237-9717
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Provider Business Mailing Address
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Address Line | 2040 S ALMA SCHOOL RD 1-233
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City | CHANDLER
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State | AZ
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Zip | 85286-7075
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Country | US
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Telephone | 480-440-2090
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Fax | 480-237-9717
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. KIM M URWILER
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Credential |
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Telephone | 480-440-2090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | BH3675
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | BH-3675
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License Number State | AZ
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