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General NPI Number Information
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NPI Number | 1629575436
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS FAMILY SERVICES LLC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 620 N WEBB RD
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4049
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Country | US
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Telephone | 308-675-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N WEBB RD
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4049
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Country | US
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Telephone | 308-675-0060
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CHRISTINA MARTINEZ
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Credential |
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Telephone | 308-675-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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