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General NPI Number Information
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NPI Number | 1427244581
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS NORTH, INC.
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 514 MAIN ST W
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City | ASHLAND
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State | WI
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Zip | 54806-1512
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Country | US
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Telephone | 715-682-7171
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Fax | 715-682-7176
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Provider Business Mailing Address
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Address Line | 514 MAIN ST W
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City | ASHLAND
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State | WI
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Zip | 54806-1512
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Country | US
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Telephone | 715-682-7171
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Fax | 715-682-7176
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JENNIFER FELTY
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Credential |
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Telephone | 715-682-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 1061-800
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License Number State | WI
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