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General NPI Number Information
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NPI Number | 1669594883
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Entity Type | Organization
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Legal Business Name | A NEW BEGINNING ADULT AND YOUTH SERVICE INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 112 RALEIGH ST STE A
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City | HAMLET
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State | NC
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Zip | 28345-2757
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Country | US
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Telephone | 910-582-2300
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Fax | 910-582-2288
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Provider Business Mailing Address
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Address Line | 112 RALEIGH ST STE A
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City | HAMLET
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State | NC
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Zip | 28345-2757
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Country | US
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Telephone | 910-582-2300
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Fax | 910-582-2288
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Authorized Official
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Title or Position | CEO
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Name | THOMAS LEONARD POWE
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Credential |
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Telephone | 704-694-8316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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