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General NPI Number Information
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NPI Number | 1568142503
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Entity Type | Organization
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Legal Business Name | NEW DAWN COUNSELING SERVICES
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 211 S WEST AVE
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City | SIDNEY
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State | OH
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Zip | 45365-3017
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Country | US
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Telephone | 419-905-7805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1980
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City | WAPAKONETA
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State | OH
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Zip | 45895-0980
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Country | US
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Telephone | 419-905-7805
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Fax |
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Authorized Official
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Title or Position | OWENER
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Name | JULIE K CLAY
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Credential | LICDC
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Telephone | 419-905-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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