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General NPI Number Information
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NPI Number | 1366147936
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS CCA
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 8680 GREENBACK LN STE 220
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City | ORANGEVALE
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State | CA
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Zip | 95662-3970
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Country | US
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Telephone | 916-385-2784
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Fax | 916-512-3473
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Provider Business Mailing Address
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Address Line | 8863 GREENBACK LN STE 202
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City | ORANGEVALE
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State | CA
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Zip | 95662-4059
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Country | US
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Telephone | 916-745-3754
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Fax | 916-512-3473
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Authorized Official
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Title or Position | OWNER
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Name | DEBBIE DALLY ROBINSON
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Credential | RN
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Telephone | 916-745-3754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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