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General NPI Number Information
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NPI Number | 1427277524
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Entity Type | Organization
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Legal Business Name | NEW PLACE, INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1628 RANKIN LAKE RD
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City | GASTONIA
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State | NC
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Zip | 28052-1888
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Country | US
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Telephone | 704-567-8984
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Fax | 704-567-8954
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Provider Business Mailing Address
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Address Line | 6612 E WT HARRIS BLVD STE D
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City | CHARLOTTE
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State | NC
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Zip | 28215-5134
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Country | US
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Telephone | 704-567-8984
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Fax | 704-567-8954
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JAMES ARNELL HUNT
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Credential |
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Telephone | 704-567-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | MHL-036-205
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License Number State | NC
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