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General NPI Number Information
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NPI Number | 1831511823
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Entity Type | Organization
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Legal Business Name | NEW FOCUS ADDICTION AND BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 925 SANDERS RD STE B
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City | CUMMING
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State | GA
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Zip | 30041-7945
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Country | US
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Telephone | 678-261-7671
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Fax | 678-377-0754
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Provider Business Mailing Address
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Address Line | 925 SANDERS RD STE B
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City | CUMMING
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State | GA
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Zip | 30041-7945
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Country | US
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Telephone | 678-261-7671
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Fax | 678-377-0754
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Authorized Official
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Title or Position | ADMIN
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Name | UDANA THOMAS
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Credential |
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Telephone | 678-789-8546
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State | GA
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