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General NPI Number Information
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NPI Number | 1457756769
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS FAMILY SERVICES
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 224 KENAI AVE STE 3
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City | SOLDOTNA
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State | AK
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Zip | 99669-7647
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Country | US
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Telephone | 907-394-4442
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Fax | 907-262-1806
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Provider Business Mailing Address
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Address Line | PO BOX 2464
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City | KENAI
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State | AK
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Zip | 99611-2464
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Country | US
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Telephone | 907-394-4442
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Fax | 907-262-1806
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | COLLEEN NUSBAUM
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Credential | LCSW
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Telephone | 907-394-4442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CMX
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1290
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License Number State | AK
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