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General NPI Number Information
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NPI Number | 1730989310
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS INSTITUTE, PLLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 22365 BRODERICK DR STE 330
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City | STERLING
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State | VA
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Zip | 20166-9603
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Country | US
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Telephone | 555-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 9230 OLD KEENE MILL RD # 1036
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City | BURKE
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State | VA
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Zip | 22015-4201
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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 | CEO
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Name | DR. ANDREA KASSIM
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Credential |
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Telephone | 703-651-2634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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