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General NPI Number Information
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NPI Number | 1407293574
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS COUNSELING CENTER, LLC.
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 2103 S WADSWORTH BLVD 207
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City | LAKEWOOD
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State | CO
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Zip | 80227-2400
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Country | US
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Telephone | 720-620-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 W JEWELL AVE 1C
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City | DENVER
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State | CO
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Zip | 80232-7264
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Country | US
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Telephone | 720-620-7714
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Fax |
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Authorized Official
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Title or Position | ADDICTIONS COUNSELOR III
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Name | MR. FRANCISCO RAY CORDOVA
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Credential | CACIII
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Telephone | 720-620-7714
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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 | 1733-01
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License Number State | CO
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