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General NPI Number Information
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NPI Number | 1639399629
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS CMHC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1469 N.W. 36 STREET
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 305-635-7444
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Fax | 305-634-1303
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Provider Business Mailing Address
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Address Line | 1469 N.W. 36 STREET
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City | MIAMI
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State | FL
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Zip | 33142
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Country | US
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Telephone | 305-635-7444
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Fax | 305-634-1303
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. LUVERNICE CROSKEY
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Credential | PH.D.
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Telephone | 305-635-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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