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General NPI Number Information
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NPI Number | 1821623315
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Entity Type | Organization
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Legal Business Name | NEW HOPE ADDICTION RECOVERY, LLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 7330 FERN AVE STE 1003
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City | SHREVEPORT
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State | LA
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Zip | 71105-4988
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Country | US
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Telephone | 337-550-5490
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Fax | 337-550-5489
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Provider Business Mailing Address
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Address Line | 215 NORTHPARK DR
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City | MONROE
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State | LA
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Zip | 71203-6520
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Country | US
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Telephone | 318-977-9100
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Fax | 318-977-9105
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Authorized Official
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Title or Position | OWNER
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Name | CESAR GONZALES
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Credential | MD
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Telephone | 337-855-9023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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