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General NPI Number Information
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NPI Number | 1629325089
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS TREATMENT CENTER
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Dates
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Enumeration Date | 08/04/2012
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Last Update Date | 08/04/2012
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Provider Practice Location Address
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Address Line | 7902 WRENWOOD BLVD SUITE A
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City | BATON ROUGE
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State | LA
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Zip | 70809-1794
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Country | US
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Telephone | 504-400-2477
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Fax |
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Provider Business Mailing Address
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Address Line | 15094 E LAKEFRONT DR
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City | GONZALES
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State | LA
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Zip | 70737-7077
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Country | US
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Telephone | 504-400-2477
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LARRY WARNER JR.
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Credential | M.D.
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Telephone | 504-400-2477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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