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General NPI Number Information
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NPI Number | 1720173974
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1622 24TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-3111
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Country | US
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Telephone | 601-485-5225
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Fax | 601-485-5215
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Provider Business Mailing Address
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Address Line | 1622 24TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-3111
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Country | US
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Telephone | 601-485-5225
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Fax | 601-485-5215
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES GILBERT
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Credential | PHD. LPC
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Telephone | 601-485-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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