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General NPI Number Information
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NPI Number | 1740617745
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING CARE HOME
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 2971 ELDRON BLVD SE
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City | PALM BAY
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State | FL
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Zip | 32909-6498
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Country | US
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Telephone | 321-956-2082
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Fax | 321-728-9351
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Provider Business Mailing Address
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Address Line | 2971 ELDRON BLVD SE
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City | PALM BAY
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State | FL
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Zip | 32909-6498
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Country | US
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Telephone | 321-956-2082
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Fax | 321-728-9351
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BRINDA J BRASWELL
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Credential |
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Telephone | 321-914-8284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11827
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License Number State | FL
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