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General NPI Number Information
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NPI Number | 1871733014
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Entity Type | Organization
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Legal Business Name | NEW DAY COUNSELING PA
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Dates
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Enumeration Date | 02/28/2009
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Last Update Date | 02/28/2009
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Provider Practice Location Address
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Address Line | 808 3RD ST SUITE A
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266-5081
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Country | US
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Telephone | 904-240-5455
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Fax | 904-638-3051
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Provider Business Mailing Address
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Address Line | 808 3RD ST SUITE A
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City | NEPTUNE BEACH
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State | FL
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Zip | 32266-5081
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Country | US
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Telephone | 904-240-5455
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Fax | 904-638-3051
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROSS EDWARD MCDONOUGH
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Credential | L.C.S.W.
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Telephone | 904-240-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | SW 7446
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License Number State | FL
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