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General NPI Number Information
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NPI Number | 1649070756
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS WELLNESS CENTER
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 12506 SE STARK ST APT D
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City | PORTLAND
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State | OR
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Zip | 97233-1067
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Country | US
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Telephone | 971-417-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 12506 SE STARK ST APT D
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City | PORTLAND
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State | OR
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Zip | 97233-1067
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Country | US
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Telephone | 971-417-3333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED ABDI NUR
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Credential |
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Telephone | 971-417-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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