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General NPI Number Information
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NPI Number | 1558552240
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS CENTERS OF AMERICA
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 29501 KICKAPOO RD MABEL BASSETT CORRECTIONAL
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City | MCLOUD
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State | OK
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Zip | 74851-8320
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Country | US
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Telephone | 405-364-9400
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Fax | 405-364-9407
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Provider Business Mailing Address
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Address Line | 309 E MAIN ST
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City | NORMAN
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State | OK
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Zip | 73069-1306
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Country | US
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Telephone | 405-364-9400
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Fax | 405-364-9407
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Authorized Official
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Title or Position | MANAGE/OWNER
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Name | MR. RONNIE MARVIN ALEXANDER
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Credential |
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Telephone | 405-364-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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