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General NPI Number Information
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NPI Number | 1396161642
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Entity Type | Organization
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Legal Business Name | NEW CHOICES RECOVERY CENTERS INC
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 915 WALNUT AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-5033
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Country | US
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Telephone | 562-316-8184
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Fax |
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Provider Business Mailing Address
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Address Line | 5125 HERSHOLT AVE
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City | LAKEWOOD
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State | CA
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Zip | 90712-2730
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Country | US
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Telephone | 562-316-8184
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | MR. MATTHEW H COOPER
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Credential |
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Telephone | 562-316-8184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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