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General NPI Number Information
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NPI Number | 1710382221
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Entity Type | Organization
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Legal Business Name | HOUSE OF NEW HORIZON
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 3234 KINGS LANE
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City | NASHVILLE
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State | TN
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Zip | 37218
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Country | US
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Telephone | 615-319-1963
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Fax |
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Provider Business Mailing Address
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Address Line | 3234 KINGS LANE
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City | NASHVILLE
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State | TN
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Zip | 37218
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Country | US
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Telephone | 615-319-1963
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN W JOHNSON SR.
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Credential |
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Telephone | 615-319-1963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 1000000012700
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 1000000012700
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License Number State | TN
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