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General NPI Number Information
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NPI Number | 1831134345
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Entity Type | Organization
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Legal Business Name | NEW PERSPECTIVES
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 3302 41ST STREET
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City | MOLINE
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State | IL
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Zip | 61265
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Country | US
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Telephone | 309-764-3912
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Fax | 309-736-1804
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Provider Business Mailing Address
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Address Line | 3302 41ST STREET
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City | MOLINE
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State | IL
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Zip | 61265
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Country | US
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Telephone | 309-764-3912
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Fax | 309-736-1804
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISTY R WEST
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Credential |
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Telephone | 309-764-3912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 071006393
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License Number State | IL
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