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General NPI Number Information
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NPI Number | 1821954934
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Entity Type | Organization
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Legal Business Name | A NEW LIFE CHAPTER PLLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 29 ROLLING BANKS DR
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City | LOUISBURG
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State | NC
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Zip | 27549-7224
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Country | US
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Telephone | 919-440-5734
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Fax |
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Provider Business Mailing Address
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Address Line | 29 ROLLING BANKS DR
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City | LOUISBURG
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State | NC
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Zip | 27549-7224
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Country | US
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Telephone | 919-440-5734
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BYRON KEITH COLLINS
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Credential | LCSW
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Telephone | 919-440-5734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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