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General NPI Number Information
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NPI Number | 1700908597
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS COUNSELING CENTER, PSC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 828 LANE ALLEN ROAD SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40504-3659
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Country | US
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Telephone | 859-277-2322
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Fax | 859-277-0709
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Provider Business Mailing Address
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Address Line | 828 LANE ALLEN ROAD SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40504-3659
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Country | US
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Telephone | 859-277-2322
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Fax | 859-277-0709
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN MARVIN JOY
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Credential | LCSW
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Telephone | 859-277-2322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY454
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License Number State | KY
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