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General NPI Number Information
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NPI Number | 1629277397
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Entity Type | Organization
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Legal Business Name | NEW START OF NORTH CAROLINA
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 708 W 14TH AVE
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City | GREENVILLE
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State | NC
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Zip | 27834-3083
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Country | US
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Telephone | 252-413-0064
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Fax | 252-439-0666
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | GREENVILLE
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State | NC
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Zip | 27835-1523
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Country | US
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Telephone | 252-413-0064
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Fax | 252-439-0666
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Authorized Official
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Title or Position | OWENER OPERATOR
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Name | MS. RAMONA HART
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Credential |
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Telephone | 252-327-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | NC
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