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NPI 1407676018

NPI 1407676018 : D & D NEW BEGINNINGS : BEAVERCRK TWP, OH

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General NPI Number Information
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    NPI Number           |    1407676018
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    Entity Type          |    Organization 
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    Legal Business Name  |    D & D NEW BEGINNINGS 
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Dates
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    Enumeration Date     |    10/16/2024
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    Last Update Date     |    01/23/2026
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Provider Practice Location Address
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    Address Line         |    70 BIRCH ALY STE 240 
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    City                 |    BEAVERCRK TWP
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    State                |    OH
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    Zip                  |    45440-1477
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    Country              |    US
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    Telephone            |    937-367-4185
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    70 BIRCH ALY STE 240 
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    City                 |    BEAVERCRK TWP
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    State                |    OH
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    Zip                  |    45440-1477
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    Country              |    US
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    Telephone            |    937-367-4185
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAVIDA  COOK 
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    Credential           |    
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    Telephone            |    937-367-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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