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General NPI Number Information
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NPI Number | 1720953557
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING SOBER HOUSE
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 81 MILLARD ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2433
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Country | US
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Telephone | 860-505-9519
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Fax |
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Provider Business Mailing Address
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Address Line | 81 MILLARD ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2433
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CERTIFIED RECOVERY SUPPORT SP
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Name | AKEEM T MCCLOUD
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Credential | CRSS
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Telephone | 860-505-9519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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