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General NPI Number Information
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NPI Number | 1669675997
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS OF NORTHWEST FLORIDA, INC
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10050 HILLVIEW DR
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City | PENSACOLA
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State | FL
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Zip | 32514-5759
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Country | US
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Telephone | 850-474-0667
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Fax | 850-474-0290
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Provider Business Mailing Address
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Address Line | 10050 HILLVIEW DR
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City | PENSACOLA
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State | FL
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Zip | 32514-5759
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Country | US
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Telephone | 850-474-0667
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Fax | 850-474-0290
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RUTHIE SIMONE ANDREWS
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Credential | R.N.
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Telephone | 850-474-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 4049095
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License Number State | FL
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